John S Walkerdmd Prof LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

105355 Issued in CO

Legal business name

JOHN S WALKERDMD PROF LLC

Practice address

350 Broadway St Ste 120
Boulder, CO 80305-3300

Phone

(303) 494-3535

Fax

(303) 494-5095

NPI assigned

Jan 16, 2014

Last updated

Jan 16, 2014By 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

Christy Galitz

Title

Manager

Phone

(303) 494-3535

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• John S Walker, D.M.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Boulder, CO
  • NPI 1295760502
  NPD (past)

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

{
    "created_epoch": "1389830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389830400000",
    "number": "1871915496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 BROADWAY ST STE 120",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803053300",
            "telephone_number": "303-494-3535",
            "fax_number": "303-494-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 BROADWAY ST STE 120",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803053300",
            "telephone_number": "303-494-3535",
            "fax_number": "303-494-5095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN S WALKERDMD PROF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-16",
        "last_updated": "2014-01-16",
        "status": "A",
        "authorized_official_last_name": "GALITZ",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "303-494-3535"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "105355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2053551",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Amanda John, LSW
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• Alan Johnson
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• Orthodontics and Dentofacial Orthopedics Dentistry in Boulder, CO
• Providers in Boulder, CO by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; 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.