Walke Dentistry PLLC - Series 1

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

WALKE DENTISTRY PLLC - SERIES 1

Doing business as

River Town Family Dentistry

Practice address

511 N Bluff St
Guttenberg, IA 52052-9465

Phone

(641) 832-8608

NPI assigned

Nov 6, 2020

Last updated

Nov 6, 2020By 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

Dr. Alicia Katherine Walke, DDSNPI 1144602632

Title

Owner

Phone

(641) 832-8608

Specialties & licenses 1

Addresses

Other names 1

• River Town Family Dentistry Doing business as

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.

• Alicia Katherine Walke, DDS

  • Dentist
  • Guttenberg, IA
  • NPI 1144602632
  NPD Authorized official

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

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604620800000",
    "number": "1811598659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27428 IMPALA RD",
            "city": "GARBER",
            "state": "IA",
            "postal_code": "520488107",
            "telephone_number": "641-832-8608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 N BLUFF ST",
            "city": "GUTTENBERG",
            "state": "IA",
            "postal_code": "520529465",
            "telephone_number": "641-832-8608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALKE DENTISTRY PLLC - SERIES 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-06",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A",
        "authorized_official_last_name": "WALKE",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "KATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "641-832-8608",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River Town Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Scott Lee Scherer, D.C.
• Andrew C Smith, MD
• Anna Svennungsen, ARNP
• The Me I Want to Be, LLC
• Unlimited Service, Inc.
• Alicia Katherine Walke, DDS
• Woodland Eye Clinic, PC

• Clinic/Center in Guttenberg, IA
• Providers in Guttenberg, IA by specialty
• Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; 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.