Kelly Lynne Walters, D.M.D.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

50054467 Issued in NY

Practice address

1557 Route 82 Ste 5
Hopewell Junction, NY 12533-3328

Phone

(845) 896-8880

Fax

(845) 896-2439

NPI assigned

Nov 1, 2009

Sex

Female

Sole proprietor

Yes

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

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": "1257033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1891021432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 ROMBOUT RD",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126036216",
            "telephone_number": "845-249-8268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1557 ROUTE 82 STE 5",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "125333328",
            "telephone_number": "845-896-8880",
            "fax_number": "845-896-2439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "KELLY",
        "middle_name": "LYNNE",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-01",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "50054467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inderjitsingh Gurmukhsingh Vig, DDS
• Kristen Marie Vilardi-Shanley, D.M.D.
• Gurvinder K Virk, FNP
• Dorene Vitucci
• Naomi Catherine Vivanco, NP-C
• Wappingers Central School District
• Tiffany Rae Ware-Gallo, LPN
• Mary Jo Webb, CCC-SLP
• Michael Vincent Webb, CCC SLP
• Craig Weber, M.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in Hopewell Junction, NY
• Providers in Hopewell Junction, NY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.