Stephen L. Walker, DDS, MS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

D6935 Issued in AZ

Practice address

2220 W Southern Ave
102
Mesa, AZ 85202-4772

Phone

(480) 834-7100

Fax

(480) 833-3134

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gateway Smiles, LLP

  • General Practice Dentistry
  • Mesa, AZ
  • NPI 1043407885
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386115200000",
    "number": "1720166499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 W SOUTHERN AVE",
            "address_2": "102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024772",
            "telephone_number": "480-834-7100",
            "fax_number": "480-833-3134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 W SOUTHERN AVE",
            "address_2": "102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024772",
            "telephone_number": "480-834-7100",
            "fax_number": "480-833-3134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "STEPHEN",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2013-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "AZ",
            "license": "D6935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Walker, BHT
• Paul Walker, MD
• Renee Kathleen Walker, LPC
• Robert Scott Walker, P.T.
• Sheri Dee Walker
• Timothy Ellis Walker, M.D.
• Brandon Wall
• Matthew Ryan Wall, D.D.S.
• Wallace Chiropractic, PC
• Kristine Wallace, N.D.

• Endodontics in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Endodontics in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.