Michael Wayne Walker, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2772 Issued in LA

Practice address

189 Keystone Rd
Monroe, LA 71203-8936

Phone

(318) 665-4423

Fax

(318) 665-4425

NPI assigned

Mar 27, 2012

Last updated

Mar 27, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jan T Bagwell DDS

  • Dental Clinic/Center
  • Monroe, LA
  • NPI 1669945861
  NPD (past)

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332806400000",
    "number": "1790051522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 KEYSTONE RD",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712038936",
            "telephone_number": "318-665-4423",
            "fax_number": "318-665-4425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 KEYSTONE RD",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712038936",
            "telephone_number": "318-665-4423",
            "fax_number": "318-665-4425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "MICHAEL",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-27",
        "last_updated": "2012-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "2772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Michelle Walker, MD
• Fredricka Walker
• Jonathan Robert Walker, MD
• Lauren Holston Walker, APRN, FNP-C
• Lavonda Walker
• Miesha S Walker
• Naomi L Walker
• Rosie Michelle Walker
• Zanee Walker, MS
• Kristen Wallace, COTA

• General Practice Dentistry in Monroe, LA
• Providers in Monroe, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; 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.