Carolyn Bowman Walker, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

20536 Issued in TX

Practice address

25235 W Interstate 10
Suite # 201
San Antonio, TX 78257-9550

Phone

(210) 698-1010

Fax

(210) 698-1078

NPI assigned

Aug 22, 2006

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

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.

Opted out of Medicare

Yes, effective Mar 29, 2016 through Mar 29, 2028

Medicare enrollment (NPD)

Not enrolled

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.

• Leon Springs Dental Center, PA

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1437582236
  NPD (past) Authorized official

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436227200000",
    "number": "1720194616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25235 W INTERSTATE 10",
            "address_2": "SUITE # 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782579550",
            "telephone_number": "210-698-1010",
            "fax_number": "210-698-1078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25235 W INTERSTATE 10",
            "address_2": "SUITE # 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782579550",
            "telephone_number": "210-698-1010",
            "fax_number": "210-698-1078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "CAROLYN",
        "middle_name": "BOWMAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2015-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arjun Kaw Wali
• Johnnie Walker-Staggs, LPC
• Adara Richelle Walker
• Ashley Michelle Walker, RBT
• Brandon Walker
• Chad Layne Walker
• Chris Ann Walker
• Christopher Walker, DDS
• Courtney Ann Walker, MOTR
• Dallin S Walker, DO

• General Practice Dentistry in San Antonio, TX
• Providers in San Antonio, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.