Jeremy Walker DMD Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JEREMY WALKER DMD CORPORATION

Practice address

1910 Mission Ave Ste D
Oceanside, CA 92058-7129

Phone

(760) 967-8899

NPI assigned

Apr 24, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Jeremy Walker, DMD

Title

President

Phone

(208) 800-1239

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556064000000",
    "number": "1952965006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 3RD AVE STE 302",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 MISSION AVE STE D",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920587129",
            "telephone_number": "760-967-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEREMY WALKER DMD CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-24",
        "last_updated": "2019-04-24",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-800-1239",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derek Scott Jensen, MSW
• Haylen Rae Jensen
• Kori Jensen
• Jerald D. White, MD, AMC
• Jeremy L Walker Dental Corporation
• Myah Denae Jerido
• Jaclyn Jerse, MOT, OTR/L
• Mark Stanley Jesinoski, PHD
• Amy Brooks Jessel, DDS
• Abigail Jimenez

• Dental Clinic/Center in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; 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.