Active NPI
Richard Green Walton, DO
- Diagnostic Radiology Physician
- Mount Clemens, MI
National Provider Identifier
1891757522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 5101009247
- Practice address
- 1000 Harrington St
Mount Clemens, MI 48043-2920 - Phone
- (586) 493-8706
- NPI assigned
- Apr 6, 2006
- 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 |
|---|---|---|---|---|
| Pediatric Radiology Physician | 2085P0229X | 056665 | GA | |
| Diagnostic Radiology Physician | 2085R0202X | 056665 | GA | |
| Diagnostic Radiology Physician | 2085R0202X | 5101009247 | MI | Primary |
Addresses
Primary practice location
1000 Harrington St
Mount Clemens, MI 48043-2920
Mailing address
32757 White Oaks TRL
Beverly Hills, MI 48025-2563
Phone (800) 764-7297
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009247 | Other | MI | MI MEDICAL LICENSE |
| 056665 | Other | GA | GA MEDICAL LICENSE# |
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)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056665 | GA | MD | Pediatric Radiology Physician |
| 5101009247 | MI | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1891757522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32757 WHITE OAKS TRL",
"city": "BEVERLY HILLS",
"state": "MI",
"postal_code": "480252563",
"telephone_number": "800-764-7297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 HARRINGTON ST",
"city": "MOUNT CLEMENS",
"state": "MI",
"postal_code": "480432920",
"telephone_number": "586-493-8706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTON",
"first_name": "RICHARD",
"middle_name": "GREEN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-06",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "GA",
"license": "056665",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GA",
"license": "056665",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MI",
"license": "5101009247",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MI MEDICAL LICENSE",
"identifier": "009247",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GA MEDICAL LICENSE#",
"identifier": "056665",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mount Clemens, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.