Individual provider Active NPI

Walter S Walker, D.C.

  • Chiropractor
  • Collierville, TN
National Provider Identifier
1770611568
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
807 Issued in TN
Practice address
336 Poplar View Pkwy Ste 2
Collierville, TN 38017-3436
Phone
(901) 854-6200
Fax
(901) 853-3608
NPI assigned
Mar 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 807 TN Primary

Addresses

Primary practice location

336 Poplar View Pkwy Ste 2
Collierville, TN 38017-3436

Mailing address

336 Poplar View Pkwy Ste 2
Collierville, TN 38017-3436
Phone (901) 854-6200

Other identifiers 1

IdentifierTypeStateIssuer
00133421OtherTNBLUE CROSS BLUE SIIELD

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770611568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 POPLAR VIEW PKWY STE 2",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380173436",
            "telephone_number": "901-854-6200",
            "fax_number": "901-853-3608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 POPLAR VIEW PKWY STE 2",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380173436",
            "telephone_number": "901-854-6200",
            "fax_number": "901-853-3608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "WALTER",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SIIELD",
            "identifier": "00133421",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Collierville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.