Danyelle J Walker, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE61290204 Issued in WA

Practice address

104 W 3Rd St
Port Angeles, WA 98362-2825

Phone

(360) 928-7344

NPI assigned

Jul 7, 2022

Last updated

Jul 7, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1710610779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 GUNSIGHT CT",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598046238",
            "telephone_number": "907-321-3141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W 3RD ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983622825",
            "telephone_number": "360-928-7344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "DANYELLE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-07",
        "last_updated": "2022-07-07",
        "certification_date": "2022-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE61290204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Charles Wade, P.T.
• Helenmarie Wagoner, RN-NIC
• Colby Wait
• Wal-Mart Stores, Inc (Wal-Mart Vision Center 30-2196)
• Walgreen Co (Walgreens #11215)
• Justin Ford Walker
• Michael Walker
• Caron Elizabeth Wallace, CDPT
• Mary Terese Wallace
• Emily Marie Wallen, DO

• General Practice Dentistry in Port Angeles, WA
• Providers in Port Angeles, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; 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.