Organization Active NPI

Glorianne D. Walker, DMD, PLLC

  • Dental Clinic/Center
  • Fife, WA
National Provider Identifier
1699071910
Registry record updated Feb 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
6266 Issued in WA
Legal business name
GLORIANNE D. WALKER, DMD, PLLC
Practice address
5615 Valley Ave E
Fife, WA 98424-2060
Phone
(253) 922-6822
Fax
(253) 922-3513
NPI assigned
Feb 3, 2011
Last updated
Feb 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Glorianne D. Walker, DMDNPI 1679646335
Title
Owner
Phone
(253) 922-6822

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 6266 WA Primary

Addresses

Primary practice location

5615 Valley Ave E
Fife, WA 98424-2060

Mailing address

PO Box 787
Milton, WA 98354-0787
Phone (253) 922-6822

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1296691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296691200000",
    "number": "1699071910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 787",
            "city": "MILTON",
            "state": "WA",
            "postal_code": "983540787",
            "telephone_number": "253-922-6822",
            "fax_number": "253-922-3513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5615 VALLEY AVE E",
            "city": "FIFE",
            "state": "WA",
            "postal_code": "984242060",
            "telephone_number": "253-922-6822",
            "fax_number": "253-922-3513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORIANNE D. WALKER, DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-03",
        "last_updated": "2011-02-03",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "GLORIANNE",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-922-6822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "6266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fife, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.