Harrison Carroll Walker Jr., D.D.S., P.A.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

PEDO-006-74 Issued in MS

Practice address

100 Brandon Rd
Suite W
Starkville, MS 39759-2571

Phone

(662) 323-9726

Fax

(662) 323-9727

NPI assigned

Aug 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• H. Carroll Walker, Jr., DDS,PA

  • Pediatric Dentistry
  • Starkville, MS
  • NPI 1124209465
  NPD (past)
• Starkville Pediatric Dentistry

  • Pediatric Dentistry
  • Starkville, MS
  • NPI 1407008337
  NPD (past)

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1922112804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 E GILLESPIE ST",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397593303",
            "telephone_number": "662-323-6921",
            "fax_number": "662-323-9727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BRANDON RD",
            "address_2": "SUITE W",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397592571",
            "telephone_number": "662-323-9726",
            "fax_number": "662-323-9727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "HARRISON",
        "middle_name": "CARROLL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S., P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MS",
            "license": "PEDO-006-74",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00063365",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09205284",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Waldrop Chiropractic and Wellness, PLLC
• Rachel Waldrop, D.C.
• Walgreen Co
• Ashley Nicole Walker
• George G Walker
• Patrick James Walker
• Charles Edward Wall Jr., MD
• Clara Bailey Wallace, DC
• Codi Labrina Wallace, LPC
• Ellen Easley Wallace, CDE, RD, LD

• All providers in Starkville, MS
• Pediatric Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.