Lee R. Walker, MD, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

38618 Issued in CA

Practice address

14830 Los Gatos Blvd Ste 200
Los Gatos, CA 95032-2053

Phone

(408) 412-8400

Fax

(408) 412-5500

NPI assigned

Sep 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Sep 23, 2016 through Sep 23, 2026

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Los Gatos Oral & Facial Surgery

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Los Gatos, CA
  • NPI 1558080838
  NPD Authorized official

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415923200000",
    "number": "1780784512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14830 LOS GATOS BLVD STE 200",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322053",
            "telephone_number": "408-412-8400",
            "fax_number": "408-427-9666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14830 LOS GATOS BLVD STE 200",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322053",
            "telephone_number": "408-412-8400",
            "fax_number": "408-412-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "LEE",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "MD, DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2014-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "38618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fauzia Ahsan Waheed
• Manoj V Waikar, M.D.
• Chelsea Walden, DPT, OCS
• Walgreen Co (Walgreens #02786)
• Walgreen Co (Walgreens #07326)
• Afiya Walters Dyer, M.B.B.S.
• Alicia Follmar Wang, DMD
• Rosemary Wei Wei Wang, DDS
• Yun Chung Wang
• Miranda Warburton, PH.D., CMT

• Oral and Maxillofacial Surgery (Dentist) in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.