Active NPI
Todd K. Walker, DDS, PC
- General Practice Dentistry
- Boise, ID
National Provider Identifier
1922279892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D3586
- Legal business name
- TODD K. WALKER, DDS, PC
- Practice address
- 7723 W Riverside Dr
Boise, ID 83714-6182 - Phone
- (208) 853-8811
- Fax
- (208) 853-2495
- NPI assigned
- Mar 18, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Anne L. Evans, MPA
- Title
- Manager
- Phone
- (208) 853-8811
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D3586 | ID | Primary |
Addresses
Primary practice location
7723 W Riverside Dr
Boise, ID 83714-6182
Mailing address
7723 W Riverside Dr
Boise, ID 83714-6182
Phone (208) 853-8811
Other names 1
- River City Dental
National Provider Directory
National Provider Directory- Tax ID family
- River City Dental
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dental Clinic/Center
- Boise, ID
- NPI 1841459351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205798400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205798400000",
"number": "1922279892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7723 W RIVERSIDE DR",
"city": "BOISE",
"state": "ID",
"postal_code": "837146182",
"telephone_number": "208-853-8811",
"fax_number": "208-853-2495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7723 W RIVERSIDE DR",
"city": "BOISE",
"state": "ID",
"postal_code": "837146182",
"telephone_number": "208-853-8811",
"fax_number": "208-853-2495"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TODD K. WALKER, DDS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-18",
"last_updated": "2008-03-18",
"status": "A",
"authorized_official_last_name": "EVANS",
"authorized_official_first_name": "ANNE",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "208-853-8811",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MPA"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "ID",
"license": "D3586",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "River City Dental",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.