Active NPI
Robert Dale Walker, DC
- Chiropractor
- Stockton, CA
National Provider Identifier
1912050774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC25532
- Practice address
- 4545 Georgetown PL
Suite A7
Stockton, CA 95207-6215 - Phone
- (209) 951-3001
- Fax
- (209) 951-4590
- NPI assigned
- Jan 18, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC25532 | CA | Primary |
Addresses
Primary practice location
4545 Georgetown PL
Suite A7
Stockton, CA 95207-6215
Mailing address
4545 Georgetown PL
Suite A7
Stockton, CA 95207-6215
Phone (209) 951-3001
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC25532 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912050774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4545 GEORGETOWN PL",
"address_2": "SUITE A7",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952076215",
"telephone_number": "209-951-3001",
"fax_number": "209-951-4590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4545 GEORGETOWN PL",
"address_2": "SUITE A7",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952076215",
"telephone_number": "209-951-3001",
"fax_number": "209-951-4590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "ROBERT",
"middle_name": "DALE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC25532",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.