Kevin Scott Walker, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DDS62787 Issued in CA

Practice address

30131 Town Center Dr Ste 220
Laguna Niguel, CA 92677-2095

Phone

(949) 495-4600

NPI assigned

Jun 11, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Kevin Walker, DDS, Inc.

  • Dental Clinic/Center
  • Laguna Niguel, CA
  • NPI 1710685136
  NPD Authorized official
• KJ Cabugao DDS Inc

  dba Walker Creek Dental

  • General Practice Dentistry
  • Vacaville, CA
  • NPI 1871112052
  NPD (past)

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1881956308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30131 TOWN CENTER DR STE 220",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926772095",
            "telephone_number": "949-495-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30131 TOWN CENTER DR STE 220",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926772095",
            "telephone_number": "949-495-4600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Alamo Dr Ste I",
            "address_purpose": "LOCATION",
            "city": "Vacaville",
            "state": "CA",
            "postal_code": "956884246",
            "country_code": "US",
            "telephone_number": "707-446-4644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "KEVIN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-11",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS62787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mercedes Fajardo Wagner, PHARM.D.
• Richard Alan Wagner, PHARM.D.
• Vivien Wahlstrom
• Walgreen Co (Walgreens #06975)
• Walgreen Co. (Walgreens #10852)
• Frances Wallace, D.C.
• Jasmine Wallace
• Walmart Inc. (Walmart Pharmacy 10-2206)
• Walmart, Inc. (Walmart pharmacy 10-3164)
• Windy Michelle Waltzman

• Dentist in Laguna Niguel, CA
• Providers in Laguna Niguel, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; 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.