DR. BRADLEY STEPHEN WALKER (NPI# 1164688800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164688800 |
| Entity Type | Individual |
| Full Name | DR. BRADLEY STEPHEN WALKER |
| Credential | DMD |
| Practice Address |
1434 E 4500 S Ste 102 Holladay UT 84117-4252 |
| Practice Telephone | 8012735632 |
| Mailing Telephone | 8012735632 |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2018-09-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 7030084-9922 | UT | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
7030084-9922 | UT | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1834 S State St, Orem, UT 840978109 | 8012240222 | 8012267560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669978201 | Bradley D Walker | Case Manager/Care Coordinator | 1600 Michigan Ave, Maumee, OH 43537 | 2018-04-03 |
| 1366621310 | Bradley S. Walker | Physical Therapist | 5621 Corsica Rd, Ste C, Corpus Christi, TX 78414 | 2007-10-26 |
| 1538180138 | Bradley Dale Walker | Chiropractor | 4333 County Road 207, Millersburg, OH 44654-9127 | 2006-07-21 |
| 1194783530 | Bradley S Walker | Preventive Medicine | 1735 N Nellis Blvd Ste G, Las Vegas, NV 89115-3671 | 2006-05-03 |
| 1003889460 | Bradley J Walker | Optometrist | 2242 W 16th St, Safford, AZ 85546-4081 | 2006-02-08 |
| 1467812362 | Bradley Walker | Counselor | 74 Pond St, Braintree, MA 02184-5337 | 2016-03-04 |
| 1114219441 | Bradley A Walker | Emergency Medicine | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2011-05-04 |
| 1952583502 | Bradley Troy Walker | Chiropractor | 1580 King Ave, Suite 204, Columbus, OH 43212-2058 | 2007-12-05 |
| 1871563007 | Bradley L Walker | Nurse Practitioner | 120 S Railroad Ave, Pocatello, ID 83204-3205 | 2006-01-23 |
| Street Address |
1434 E 4500 S STE 102 |
| City | HOLLADAY |
| State | UT |
| Zip Code | 84117-4252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063052256 | Abundant Dental Care, P.C. | Dentist | 1548 E 4500 S #104, Holladay, UT 84117 | 2020-01-15 |
| 1578127221 | Signature Utah Dental Partners PC | Clinic/Center | 2240 E Murray Holladay Rd, Holladay, UT 84117 | 2019-04-29 |
| 1700392974 | Marette Monson, LLC | Community/Behavioral Health | 2180 East 4500 South, Suite 105, Holladay City, UT 84117 | 2017-12-23 |
| 1942714639 | Harmon City Inc | Pharmacy | 4675 South Holladay Blvd, Holladay, UT 84117 | 2017-11-17 |
| 1881119444 | Brianna Stewart | Physical Medicine & Rehabilitation | 5151 South 900 East, Suite 100, Salt Lake City, UT 84117 | 2017-08-04 |
| 1861842874 | Whitney Aste | Dentist | 1548 E 4500 S Ste 104, Salt Lake City, UT 84117 | 2016-06-21 |
| 1922403765 | Tri-peak, Pllc | Psychologist | 4535 S 2300 E, Suite B, Salt Lake City, UT 84117 | 2014-10-22 |
| 1356689566 | Mckenzie Vierig | Marriage & Family Therapist | 4568 S Highland Dr Ste 380, Millcreek, UT 84117 | 2013-01-22 |
| 1821348640 | Fabiola Marquez Jamieson | Social Worker | 4500 S 2180 E, Suite 165, Holladay, UT 84117 | 2012-09-19 |
| 1073882882 | Amy Rose White | Social Worker | 4500 South 2180 East, Suite 165, Holladay, UT 84117 | 2011-12-22 |
| Find all providers in zip 84117 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891462 | South Davis Pediatric Dentistry LLC | Dentist | 59 W Pages Ln Ste 110, Bountiful, UT 84010-5988 | 2020-11-02 |
| 1376176198 | Happy Tooth Pediatric Dentistry, LLC | Dentist | 2453 E 3300 S, Millcreek, UT 84109-2725 | 2020-02-20 |
| 1750932273 | Michael R. Brown Dds Ms | Dentist | 1240 E 100 S Ste 120, St George, UT 84790-3079 | 2019-09-25 |
| 1609438357 | Children's Landing Pediatric Dentistry, PC | Dentist | 3855 W 7800 S Ste 200, West Jordan, UT 84088-5563 | 2019-07-02 |
| 1841766821 | Dry Creek Pediatric Dentistry | Dentist | 3300 N Running Creek Way F101, Lehi, UT 84043 | 2018-10-17 |
| 1639654684 | Clubhouse Pediatric Dentistry of West Jordan | Dentist | 1108 E South Union Ave, Midvale, UT 84047-2904 | 2018-09-26 |
| 1639667801 | St. George Kids Dental At Snow Canyon | Dentist | 1100 Canyon View Dr Ste A, Santa Clara, UT 84765-5672 | 2018-04-24 |
| 1376044313 | Slpd Cottonwood LLC | Dentist | 7167 South Highland Drive, 200, Cottonwood Heights, UT 84121 | 2018-02-26 |
| 1013420553 | Kevin Brown Dmd, LLC | Dentist | 1030 S 1100 W, Suite B, Lehi, UT 84043 | 2017-11-07 |
| 1518478742 | Lcr Dental Sugar House | Dentist | 2068 S 2100 E Suite #a, Salt Lake City, UT 84108 | 2017-10-16 |
| Find all providers with the same taxonomy | ||||
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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.