Active NPI
Mark E Walker, DDS
- General Practice Dentistry
- Durham, NC
National Provider Identifier
1750397873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10002
- Practice address
- 2615 S Miami Blvd
Durham, NC 27703-5717 - Phone
- (919) 596-7447
- NPI assigned
- Jul 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 10002 | NC | Primary |
| General Practice Dentistry | 1223G0001X | 1980 | NM |
Addresses
Primary practice location
2615 S Miami Blvd
Durham, NC 27703-5717
Mailing address
2615 S Miami Blvd
Durham, NC 27703-5717
Phone (919) 596-7447
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141120001195 | NM | Order and Referring Only - Dentist | 5092937391 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1980 | NM | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| K. Jasinski, D.M.D., P.C. | General Practice | Current | Accepting new patients |
| Dr. Pat Cassidy & Partners, PLLC | Past | Accepting new patients | |
| Mark E. Walker DDS, PC | Past | Accepting new patients |
Locations
2615 S Miami Blvd
Durham, NC 27703
Phone (919) 596-7447
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 and National Provider Directory roles.
-
- Dental Clinic/Center
- Albuquerque, NM
- NPI 1073918736
-
dba Research Triangle Dental
- General Practice Dentistry
- Durham, NC
- NPI 1710573746
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689811200000",
"number": "1750397873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2615 S MIAMI BLVD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277035717",
"telephone_number": "919-596-7447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2615 S MIAMI BLVD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277035717",
"telephone_number": "919-596-7447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "MARK",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2023-07-20",
"certification_date": "2023-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "10002",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NM",
"license": "1980",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; 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.