Organization Active NPI

Walker Family Dentistry P C

  • General Practice Dentistry
  • Fishers, IN
National Provider Identifier
1871512079
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12009157 Issued in IN
Legal business name
WALKER FAMILY DENTISTRY P C
Practice address
10177 Allisonville Rd
Suite 101
Fishers, IN 46038-2014
Phone
(317) 849-8550
Fax
(317) 841-0121
NPI assigned
Jul 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Authorized official

Name
Dr. Gary F Walker, D.D.S.NPI 1740424613
Title
President
Phone
(317) 849-8550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 12009157 IN Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

10177 Allisonville Rd
Suite 101
Fishers, IN 46038-2014

Mailing address

10177 Allisonville Rd
Suite 101
Fishers, IN 46038-2014
Phone (317) 849-8550

Other identifiers 1

IdentifierTypeStateIssuer
200210290AMedicaidIN

Other names 1

  • Walker Dentistry p.c. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260108001745 IN DME Supplier - Oral Surgery - Dentist 0143706234 Practice locations: Fishers, IN

National Provider Directory

National Provider Directory

Locations

10177 Allisonville Rd
Ste 101
Fishers, IN 46038
Phone (317) 849-8550

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760918400000",
    "number": "1871512079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10177 ALLISONVILLE RD",
            "address_2": "SUITE 101",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382014",
            "telephone_number": "317-849-8550",
            "fax_number": "317-841-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10177 ALLISONVILLE RD",
            "address_2": "SUITE 101",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382014",
            "telephone_number": "317-849-8550",
            "fax_number": "317-841-0121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALKER FAMILY DENTISTRY P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-849-8550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12009157",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200210290A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walker Dentistry p.c.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.