Active NPI
Kevin Walker, D.D.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Ocean City, NJ
National Provider Identifier
1891089207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DI02752200
- Practice address
- 265 W Atlantic Blvd
Ocean City, NJ 08226-4605 - Phone
- (786) 877-7666
- NPI assigned
- Jun 2, 2011
- Last updated
- Feb 7, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 057060 | NY | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 33687 | TX | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DI02752200 | NJ | Primary |
Addresses
Primary practice location
265 W Atlantic Blvd
Ocean City, NJ 08226-4605
Mailing address
265 W Atlantic Blvd
Ocean City, NJ 08226-4605
Phone (786) 877-7666
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 057060 | NY | MD | General Practice Dentistry |
| DI02752200 | NJ | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| 33687 | TX | MD | Community/Retail Pharmacy |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bright Star Orthodontics PA | Orthodontics and Dentofacial Orthopedics | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Ocean City, NJ
- NPI 1760136022
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Washington, DC
- NPI 1326860057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644192000000",
"number": "1891089207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "265 W ATLANTIC BLVD",
"city": "OCEAN CITY",
"state": "NJ",
"postal_code": "082264605",
"telephone_number": "786-877-7666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "265 W ATLANTIC BLVD",
"city": "OCEAN CITY",
"state": "NJ",
"postal_code": "082264605",
"telephone_number": "786-877-7666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "KEVIN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-02",
"last_updated": "2022-02-07",
"certification_date": "2022-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "057060",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "TX",
"license": "33687",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NJ",
"license": "DI02752200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ocean City, NJ
- United Methodist Homes of New Jersey (United Methodist Communities at The Shores)
- United Methodist Homes of New Jersey (United Methodist Communities at The Shores)
- Vantage Eyecare, LLC
- Walgreen Co (Rite Aid)
- Walgreen Co (Rite Aid #17934)
- Elizabeth Weiner, MD
- James Wilson, MD
- Sally Sobon Wilson, DNP, MSN, AGNP-C, RN
- Malinda Ella Woods, M.S.P.T
- Robert Woolery Jr., DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.