Tabreena V M Walker, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

20578 Issued in TX

Practice address

761St Tank Battalion
BLDG 330
Fort Hood, TX 76544-2079

Phone

(254) 285-2014

Fax

(254) 285-2182

NPI assigned

Aug 23, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

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

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.

• Community Dental Services

  • Dentist
  • Fort Hood, TX
  • NPI 1528132479
  NPD (past)

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417392000000",
    "number": "1730296054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761ST TANK BATTALION",
            "address_2": "BLDG 330",
            "city": "FORT HOOD",
            "state": "TX",
            "postal_code": "765442079",
            "telephone_number": "254-285-2014",
            "fax_number": "254-285-2182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761ST TANK BATTALION",
            "address_2": "BLDG 330",
            "city": "FORT HOOD",
            "state": "TX",
            "postal_code": "765442079",
            "telephone_number": "254-285-2014",
            "fax_number": "254-285-2182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "TABREENA",
        "middle_name": "V M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2014-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TPI 284661001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS CHIP DENTAL SERVICES",
            "identifier": "B20578-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David L Waite, M.D.
• Elizabeth Walcott
• Stephanie Ann Waldo
• Andrew David Kamalei Walker
• Michelle Marie Walker, PA-C
• Kati Walls, LMSW
• Patrick Shawn Walsh, PA
• Charles A. Walters
• Melaney Michelle Elaine Walters, R.N.
• Qing Wang, MD

• General Practice Dentistry in Fort Hood, TX
• Providers in Fort Hood, 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 Dec 1, 2014; 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.