Individual provider Active NPI

Kyle Patrick Walker, DDS

  • General Practice Dentistry
  • Thornton, CO
National Provider Identifier
1740766344
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN.00203559 Issued in CO
Practice address
9760 Grant St Ste 100
Thornton, CO 80229-2178
Phone
(720) 583-1425
NPI assigned
Jul 17, 2018
Last updated
Nov 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 33280 TX
General Practice Dentistry 1223G0001X DEN.00203559 CO Primary

Addresses

Primary practice location

9760 Grant St Ste 100
Thornton, CO 80229-2178

Mailing address

12801 Lafayette St Unit D202
Thornton, CO 80241-1810
Phone (210) 845-7601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DEN.00203559COMDGeneral Practice Dentistry
33280TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Carbon Valley Dental Company LLC CurrentSince Nov 17, 2024 Accepting new patients
Highpointe Park Dental, PC Past Accepting new patients
Highpointe Dental Group PLLC PastSince Nov 24, 2025 Accepting new patients

Locations

8350 Colorado Blvd
Unit 150
Firestone, CO 80504
Phone (210) 845-7601

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1740766344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12801 LAFAYETTE ST UNIT D202",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802411810",
            "telephone_number": "210-845-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9760 GRANT ST STE 100",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802292178",
            "telephone_number": "720-583-1425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "KYLE",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-17",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "33280",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN.00203559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; 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.