Individual provider Active NPI

Rebecca J Walker, D.D.S.

  • General Practice Dentistry
  • Fishers, IN
National Provider Identifier
1962645069
Registry record updated Apr 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12009452B Issued in IN
Practice address
10177 Allisonville Rd
Suite # 101
Fishers, IN 46038-2073
Phone
(317) 849-8550
Fax
(317) 841-0121
NPI assigned
Apr 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2009

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 12009452B IN Primary

Addresses

Primary practice location

10177 Allisonville Rd
Suite # 101
Fishers, IN 46038-2073

Mailing address

10177 Allisonville Rd
Suite # 101
Fishers, IN 46038-2073
Phone (317) 849-8550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20200618001669 IN Order and Referring Only - Oral SurgeryPractitioner - Oral SurgeryPractitioner - Dentist 3375965486

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12009452BINMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Walker Family Dentistry P C General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240185600000",
    "number": "1962645069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10177 ALLISONVILLE RD",
            "address_2": "SUITE # 101",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382073",
            "telephone_number": "317-849-8550",
            "fax_number": "317-841-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10177 ALLISONVILLE RD",
            "address_2": "SUITE # 101",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382073",
            "telephone_number": "317-849-8550",
            "fax_number": "317-841-0121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "REBECCA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-20",
        "last_updated": "2009-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12009452B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

Verify at the official NPI Registry.