Madeleine Lane Walters, DMD, MS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401419929 Issued in VA

Practice address

5900 E Virginia Beach Blvd
Norfolk, VA 23502-2530

Phone

(757) 244-9734

NPI assigned

Aug 4, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1785801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1992628929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 E 40TH ST APT D4",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235041050",
            "telephone_number": "434-996-9051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 E VIRGINIA BEACH BLVD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235022530",
            "telephone_number": "757-244-9734"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2338 E Little Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235183225",
            "country_code": "US",
            "telephone_number": "804-581-8769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "MADELEINE",
        "middle_name": "LANE",
        "credential": "DMD, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-04",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401419929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE DENTAL LICENSE",
            "identifier": "0401419929",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy Bernard Walls, M.D.
• Bernardita Walsh, BS
• Deborah Ann Walsh, FNP-BC
• Derrick Walston
• Dajuan Walters
• Robert Edmond Walters Jr., MD
• Carmen Walton
• D'Auvion Taylor Walton
• Kevin Laron Walton Sr.
• Lina Wang, MD

• General Practice Dentistry in Norfolk, VA
• Providers in Norfolk, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; 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.