Jeremy Walker Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JEREMY WALKER DENTAL CORPORATION

Practice address

3330 3Rd Ave Ste 302
San Diego, CA 92103-5639

Phone

(208) 800-1239

NPI assigned

Jun 25, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Jeremy Walker, DMD

Title

President

Phone

(208) 800-1239

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529884800000",
    "number": "1760977516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 GARIBALDI CT",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920581006",
            "telephone_number": "208-800-1239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 3RD AVE STE 302",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035639",
            "telephone_number": "208-800-1239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEREMY WALKER DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-25",
        "last_updated": "2018-06-25",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-800-1239",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sujin Jeong
• Jepsen Chiropractic, P.C.
• Christopher Jepsen, DC
• Dennis Lee Jepsen, FNP
• Eunice Munanye Jeremiah, AMFT
• Yvette Jerez-Burgos
• Edward William Jerge, DDS
• Jill Jergens
• Jason A Jergensen, DO
• Nujim A Jerjees, M.D

• Dental Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; 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.