DR. WALTER SELLERS DAVIS (NPI# 1154331023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154331023 |
| Entity Type | Individual |
| Full Name | DR. WALTER SELLERS DAVIS |
| Credential | DDS |
| Practice Address |
1610 Canyon Blvd Boulder CO 80302-5407 |
| Practice Telephone | 3034425000 |
| Practice Fax Number | 3034424396 |
| Mailing Telephone | 3034425000 |
| Mailing Fax Number | 3034424396 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
104314 | CO | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588299283 | Walter Davis | Community/Behavioral Health | 1380 Arbor Ave Se Apt 508, Warren, OH 44484-4448 | 2020-03-03 |
| 1639441876 | Walter Ray Davis Jr. | Dentist | 1270 Mcconnell Dr Ste B, Decatur, GA 30033-3507 | 2012-02-03 |
| 1487757977 | Walter Etchelles Davis | Specialist | 184 Virginia Street, Boone, NC 28607 | 2006-09-07 |
| 1376554642 | Walter E Davis | Dentist | 415 S York St, Muskogee, OK 74403-5955 | 2006-08-11 |
| 1306334487 | Walter Roy Davis | Physical Therapist | 406 S Main St, Winnsboro, TX 75494-3226 | 2018-04-25 |
| 1417202144 | Walter Eton Davis Jr. | Case Manager/Care Coordinator | 12512 Bruce B Downs Blvd, Tampa, FL 33612-9209 | 2012-07-18 |
| 1841506276 | Walter E Davis | Counselor | 4728 Oxford Ave, Philadelphia, PA 19124-5835 | 2010-08-23 |
| 1083768998 | Walter Pitts Davis | Marriage & Family Therapist | 4630 50th St, Suite 507, Lubbock, TX 79414-3521 | 2007-01-22 |
| 1285703801 | Walter S Davis | Physical Medicine & Rehabilitation | 1401 Johnston Willis Dr, North Chesterfield, VA 23235-4730 | 2006-11-07 |
| 1457300717 | Walter Davis | Psychologist | 13301 N Meridian Ave, Bldg 100, Oklahoma City, OK 73120-9369 | 2006-05-06 |
| Street Address |
1610 CANYON BLVD |
| City | BOULDER |
| State | CO |
| Zip Code | 80302-5407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609812999 | Donovan Troy Martin | Dentist | 1610 Canyon Blvd, Boulder, CO 80302-5407 | 2006-06-22 |
| 1588166318 | Margo Kathryn Nagel | Dentist | 1610 Canyon Blvd, Boulder, CO 80302-5407 | 2018-03-07 |
| 1871839621 | Flatirons Dental Center, PC | Dentist | 1610 Canyon Blvd, Boulder, CO 80302-5407 | 2012-12-26 |
| 1134447857 | Boulder Dental Center, P.c | Dentist | 1610 Canyon Blvd, Boulder, CO 80302-5407 | 2010-05-05 |
| 1083868988 | Aesthetic & Maxillofacial Associates | Dentist | 1610 Canyon Blvd, Boulder, CO 80302-5407 | 2008-11-05 |
| 1285811679 | Danny Abboud | Dentist | 1610 Canyon Blvd, Boulder, CO 80302-5407 | 2008-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323347 | Aviva Naomi Bannerman | Counselor | 2299pearlst., Boulder, CO 80302 | 2020-07-22 |
| 1205480845 | Mark L Sipowicz | Counselor | 100 Arapahoe Avenue, Boulder, CO 80302 | 2019-08-01 |
| 1366909806 | Brett Adamek | Counselor | 2027 Broadway, Suite E, Boulder, CO 80302 | 2019-02-20 |
| 1124592225 | Stepheny Antrobus | Counselor | 100 Arapahoe Lane, Suite 12, Boulder, CO 80302 | 2019-01-11 |
| 1942721337 | Sasha Marvel Hope | Nutritionist | 2260 Baseline Road #102, Boulder, CO 80302 | 2017-07-06 |
| 1073045365 | Mark Shusterman | Internal Medicine | 2133 5th Street, Boulder, CO 80302 | 2017-03-28 |
| 1316489396 | Agnieszka Spuzak | Nutritionist | 1267 Fourmile Canyon Dr, Boulder, CO 80302 | 2016-11-08 |
| 1265980031 | Tanya Robertson | Physical Therapy Assistant | 1633 Grove Street, Boulder, CO 80302 | 2016-09-21 |
| 1699142380 | Libbey Occupational Therapy Services LLC | Occupational Therapist | 100 West Arapahoe Ln, Suite 12, Boulder, CO 80302 | 2015-08-28 |
| 1831597244 | Annemarie Curran Prairie | Counselor | 2505 Walnut St., Ste 303, Boulder, CO 80302 | 2014-12-17 |
| Find all providers in zip 80302 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336751213 | Michael Kawulok | Dentist | 5221 Pinehurst Dr, Boulder, CO 80301-3792 | 2020-08-20 |
| 1780235713 | Jeremy Richard Altdorfer | Dentist | 1933 28th St Ste 204, Boulder, CO 80301-1100 | 2019-09-20 |
| 1538688908 | Kyle N. Daniel Dds PC | Dentist | 2830 Valmont Rd, Boulder, CO 80301 | 2017-09-16 |
| 1508243775 | Alyssa Ellsworth | Dentist | 4150 Darley Ave Ste 3, Boulder, CO 80305-6537 | 2015-04-27 |
| 1982008546 | Kenneth Warren Ostrov | Dentist | 661 S Broadway St, Boulder, CO 80305-5926 | 2014-10-10 |
| 1952718553 | David P. Stangl, Jr., Dmd, Professional LLC | Dentist | 2880 Folsom St Ste 202, Boulder, CO 80304-3769 | 2014-07-15 |
| 1497098974 | Andrea Irarrazabal | Dentist | 3216 Arapahoe Ave, Boulder, CO 80303-1043 | 2013-04-02 |
| 1770835118 | Gary Raymond Hubiak | Dentist | 810 36th St, Boulder, CO 80303-2440 | 2012-10-09 |
| 1427316215 | Anil P Nutakki | Dentist | 1840 Folsom St Ste 301, Boulder, CO 80302-5712 | 2012-04-30 |
| 1457661647 | Corbett W Summers Dds | Dentist | 777 29th St., Suite 300, Boulder, CO 80303 | 2010-10-21 |
| Find all providers in BOULDER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.