STEPHEN L. WALKER DDS PLLC (NPI# 1255762175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255762175 |
| Entity Type | Organization |
| Organization Name | STEPHEN L. WALKER DDS PLLC |
| Practice Address |
2220 W Southern Ave Ste 102 Mesa AZ 85202-4706 |
| Practice Telephone | 6023913155 |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2013-12-03 |
| Authorized Official Name | DR. STEPHEN WALKER (OWNER) |
| Authorized Official Telephone | 6023913155 |
| Authorized Official Credential | DDS, MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
D06935 | AZ | Dental Providers |
| Street Address |
2220 W SOUTHERN AVE STE 102 |
| City | MESA |
| State | AZ |
| Zip Code | 85202-4706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275173536 | Samuel A Wolde | Counselor | Clear View Counseling, 2651 W Guadalupe Rd, Mesa, AZ 85202 | 2020-01-14 |
| 1912549171 | Lauren Barbara Loges | Occupational Therapist | 2225 E. Southern Avenue, Mesa, AZ 85202 | 2019-10-09 |
| 1245724822 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1450 S Dobson Rd Ste B326, Mesa, AZ 85202 | 2018-06-18 |
| 1457843310 | Jay Douglas Baumgardner | Physical Therapist | 1941 W. Guadalupe Rd. Suite 109, Mesa, AZ 85202 | 2018-06-05 |
| 1144746215 | Alyson Fix | Physician Assistant | 1432 S Dobson Rd Ste 304, Mesa, AZ 85202 | 2017-08-20 |
| 1194108852 | Robert Dale Labrum | Counselor | 1255 W Baseline Rd Ste B-258, Mesa, AZ 85202 | 2015-06-30 |
| 1114325677 | John David Shull Jr. | Physician Assistant | 1520 S Dobson Rd Ste 305, Mesa, AZ 85202 | 2014-12-16 |
| 1316356207 | Embry Womens Health LLC | Nurse Practitioner | 2204 S Dobson Road, Suite 203, Mesa, AZ 85202 | 2014-08-05 |
| 1619312899 | Fiza Naueed Khan | Internal Medicine | 1400 South Dobson Road, Attn: Bmg Hospitalists Team/amanda Gump, Mesa, AZ 85202 | 2013-05-01 |
| 1487903373 | Jodi Lynn Mealer | Pharmacist | 1951 W. Baseline Rd., Mesa, AZ 85202 | 2012-09-06 |
| Find all providers in zip 85202 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366962995 | Mesa Endodontics Pllc | Dentist | 2855 E Brown Rd Ste 15, Mesa, AZ 85213-4216 | 2017-06-25 |
| 1548534035 | Isaac Edmundson Pratt | Dentist | 1712 S Country Club Dr Ste 104, Mesa, AZ 85210-6046 | 2012-02-29 |
| 1750655627 | Jonathan Bruce Barnes | Dentist | 1630 S Stapley Dr Ste 208, Mesa, AZ 85204-6659 | 2012-02-23 |
| 1770898488 | David Glen Mortenson | Dentist | 2208 S Barrington, Mesa, AZ 85209-5328 | 2010-08-18 |
| 1013126101 | Raymond Mcready Travis Vanderwerf | Dentist | 1630 S Stapley Dr, #208, Mesa, AZ 85204-6657 | 2007-05-22 |
| 1861544256 | Superstition Springs Endodontics, LLP | Dentist | 6755 E Superstition Springs Blvd Ste 101, Mesa, AZ 85206-4375 | 2007-01-17 |
| 1255493151 | James D. Hamberlin | Dentist | 1056 S Val Vista Dr Ste 3, Mesa, AZ 85204-5671 | 2006-12-15 |
| 1720166499 | Stephen L. Walker | Dentist | 2220 W Southern Ave, 102, Mesa, AZ 85202-4772 | 2006-11-01 |
| 1225115942 | Brian Allen Christopherson | Dentist | 1635 N Greenfield Rd Ste 119, Mesa, AZ 85205-4010 | 2006-11-01 |
| 1083668230 | Endodontic Specialists Ltd | Dentist | 2220 W Southern Avenue, Suite #102, Mesa, AZ 85202-4704 | 2006-05-20 |
| Find all providers in MESA | ||||
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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.