Sue Chadwick Walker, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D7111 Issued in OR

Practice address

11147 SE 21St Ave
Milwaukie, OR 97222-7675

Phone

(503) 659-2522

Fax

(503) 659-6022

NPI assigned

Aug 3, 2005

Sex

Female

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

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Sue Chadwick Walker, DMD PC

  • Dental Clinic/Center
  • Milwaukie, OR
  • NPI 1487976056
  NPD (past) Authorized official

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1821099524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11147 SE 21ST AVE",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972227675",
            "telephone_number": "503-659-5222",
            "fax_number": "503-659-6022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11147 SE 21ST AVE",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972227675",
            "telephone_number": "503-659-2522",
            "fax_number": "503-659-6022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "SUE",
        "middle_name": "CHADWICK",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-03",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D7111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co
• Gretchen E. Walker, M.S., CCC-SLP
• Jonathan Reece Walker, MA
• Linda Walker, BMS PT
• Sarah Walker, ND
• Travis Walker
• Walmart Inc.
• Jessica Walsh
• Kerrigan Brooke Walsh
• Amanda R Walter, FNP

• General Practice Dentistry in Milwaukie, OR
• Providers in Milwaukie, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.