Walters Family Denistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

020238 Issued in OH

Legal business name

WALTERS FAMILY DENISTRY

Practice address

3461 Warrensville Center Rd Ste 301
Shaker Heights, OH 44122-5227

Phone

(216) 382-1102

NPI assigned

Jan 11, 2007

Last updated

Mar 4, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cynthia Talbert

Title

Credentialing Analyst

Phone

(330) 353-6425

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Malcolm Walters Jr., DDS

  • General Practice Dentistry
  • Shaker Heights, OH
  • NPI 1356333157
  NPD

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741046400000",
    "number": "1770633075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3461 WARRENSVILLE CENTER RD STE 301",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441225227",
            "telephone_number": "216-382-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3461 WARRENSVILLE CENTER RD STE 301",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441225227",
            "telephone_number": "216-382-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTERS FAMILY DENISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A",
        "authorized_official_last_name": "TALBERT",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "CREDENTIALING ANALYST",
        "authorized_official_telephone_number": "330-353-6425"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "020238",
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreen Drug Store)
• Jamie Walker-Syph, LISW-S
• Lauren Nicole Walker, COTA/L
• Leslie Stern Walker, M.D.
• Eric Wallace, PHD
• Malcolm Walters Jr., DDS
• William Wansitler
• Angela Marie Ward, LPN
• Whitney Ward, LPCC
• Tameika Meichell Ware, R.N.

• General Practice Dentistry in Shaker Heights, OH
• Providers in Shaker Heights, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; 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.