Stephen Robert Walsh, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

HDL 7210 Issued in CO

Practice address

1840 Woodmoor Dr
Monument, CO 80132-9091

Phone

(719) 481-8321

Fax

(719) 481-8405

NPI assigned

Aug 7, 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

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811906829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 WOODMOOR DR",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801329091",
            "telephone_number": "719-481-8321",
            "fax_number": "719-481-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 WOODMOOR DR",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801329091",
            "telephone_number": "719-481-8321",
            "fax_number": "719-481-8405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "STEPHEN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "HDL 7210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02072106",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ALABAMA",
            "identifier": "550 07357",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA",
            "identifier": "7210",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "785552",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Ann Voutsalath, DO
• Aleta D Wagner, OTR/L
• Walgreen Co
• Walgreen Co.
• Walmart Inc.
• Tracy Walsh, LPC
• Kimberly Ann Ward, MS RDN
• Darcy Warner, MPT
• Carrie Waters
• Watts Orthodontics PC

• Dentist in Monument, CO
• Providers in Monument, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.