Jeremy L Walker Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JEREMY L WALKER DENTAL CORPORATION

Practice address

3870 Mission Ave Ste D4
Oceanside, CA 92058-1880

Phone

(760) 967-8899

NPI assigned

Feb 19, 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": "1550534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550534400000",
    "number": "1982160560",
    "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": "3870 MISSION AVE STE D4",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920581880",
            "telephone_number": "760-967-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEREMY L WALKER DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-19",
        "last_updated": "2019-02-19",
        "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": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• General Practice Dentistry in Oceanside, CA
• Providers in Oceanside, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.