Individual provider Active NPI

G. William Walker, D.M.D., M.A.G.D.

  • General Practice Dentistry
  • Butler, PA
National Provider Identifier
1891837928
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS020892L Issued in PA
Practice address
210 N Washington St
Butler, PA 16001-5276
Phone
(724) 285-3305
Fax
(724) 285-8511
NPI assigned
Feb 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS020892L PA Primary

Addresses

Primary practice location

210 N Washington St
Butler, PA 16001-5276

Mailing address

210 N Washington St
Butler, PA 16001-5276
Phone (724) 285-3305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150622000783 PA Order and Referring Only - DentistPractitioner - Dentist 9537470364

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS020892LPAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891837928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N WASHINGTON ST",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160015276",
            "telephone_number": "724-285-3305",
            "fax_number": "724-285-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N WASHINGTON ST",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160015276",
            "telephone_number": "724-285-3305",
            "fax_number": "724-285-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "G.",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.M.D., M.A.G.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS020892L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, PA

Sources for this page

Verify at the official NPI Registry.