NPIMap

Organization Active NPI

Mark V Walker DDS, PLLC

Doing business as Meridian Dental Clinic Federal Way

  • Dentist
  • Federal Way, WA
National Provider Identifier
1811353923
Registry record updated Jan 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE00005631 Issued in WA
Legal business name
MARK V WALKER DDS, PLLC
Doing business as
Meridian Dental Clinic Federal Way
Practice address
32114 1St Ave S
Suite 200
Federal Way, WA 98003-5760
Phone
(253) 838-9333
NPI assigned
Jan 5, 2016
Last updated
Jan 5, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2016

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

Authorized official

Name
Dr. Mark V Walker, DDS
Title
Manager/Owner
Phone
(253) 838-9333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE00005631 WA Primary

Addresses

Primary practice location

32114 1St Ave S
Suite 200
Federal Way, WA 98003-5760

Mailing address

32114 1St Ave S
Suite 200
Federal Way, WA 98003-5760
Phone (253) 838-9333

Other names 1

  • Meridian Dental Clinic Federal Way Doing business as

National Provider Directory

National Provider Directory

Locations

32114 1st Ave S
Ste 200
Federal Way, WA 98003
Phone (253) 214-7657

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451952000000",
    "number": "1811353923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32114 1ST AVE S",
            "address_2": "SUITE 200",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035760",
            "telephone_number": "253-838-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32114 1ST AVE S",
            "address_2": "SUITE 200",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035760",
            "telephone_number": "253-838-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK V WALKER DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-05",
        "last_updated": "2016-01-05",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "253-838-9333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00005631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meridian Dental Clinic Federal Way",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; 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.