DR. DOUGLAS MACDOWELL WALTERS (NPI# 1487695169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487695169 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS MACDOWELL WALTERS |
| Credential | D.D.S. |
| Practice Address |
411 Nichols Rd Suite 236 Kansas City MO 64112-2000 |
| Practice Telephone | 8167530202 |
| Practice Fax Number | 8167530253 |
| Mailing Telephone | 8167530202 |
| Mailing Fax Number | 8167530253 |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
2002011684 | MO | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619919743 | Douglas C Walters | Dentist | 128 Pennsylvania Ave E, Warren, PA 16365-2533 | 2006-06-12 |
| 1114965068 | Douglas H Walters | Nurse Anesthetist, Certified Registered | 501 20th St, Suite 606, Knoxville, TN 37916-1809 | 2006-06-03 |
| Street Address |
411 NICHOLS RD SUITE 236 |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64112-2000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154303980 | Charles F Breusing | Dentist | 411 Nichols Rd, Suite 241, Kansas City, MO 64112-2000 | 2005-11-17 |
| 1932630696 | Thomas Whiteford Scottt | Counselor | 411 Nichols Rd, Kansas City, MO 64112-2000 | 2017-03-24 |
| 1780971739 | Anna Dell Johnson | Counselor | 411 Nichols Rd, Suite 217, Kansas City, MO 64112-2000 | 2011-06-28 |
| 1750677654 | Johanna Holswade | Counselor | 411 Nichols Rd, Suite 217, Kansas City, MO 64112-2000 | 2011-06-20 |
| 1629207709 | Anna Maria Bellatin PC | Psychologist | 411 Nichols Rd, Suite 217, Kansas City, MO 64112 | 2009-07-09 |
| 1043456718 | Fowler C. Jones, Ed D Limited Liability Company | Psychologist | 411 Nichols Rd, Suite 217, Kansas City, MO 64112 | 2008-12-30 |
| 1811133804 | Anna Maria Bellatin Phd | Psychologist | 411 Nichols Rd, Suite 217, Kansas City, MO 04112 | 2008-12-23 |
| 1285808840 | Charles F. Breusing, D.d.s.,pc | Dentist | 411 Nichols Rd, Suite 241, Kansas City, MO 64112-2000 | 2008-04-15 |
| 1659542728 | Whitney Blake Ide | Counselor | 411 Nichols Rd, Suite 217, Kansas City, MO 64112-2000 | 2008-03-17 |
| 1386855831 | Louis Jay Koch | Social Worker | 411 Nichols Rd, Suite 251, Kansas City, MO 64112-2000 | 2007-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033634209 | Jackson Health Supplies | Durable Medical Equipment & Medical Supplies | 4741 Central St., #527, Kansas, MO 64112 | 2017-08-09 |
| 1376784835 | Midtown Family Medicine PC | Family Medicine | 4620 J. C. Nichols Parkway, Suite 405, Kansas City, MO 64112 | 2009-03-13 |
| 1356502041 | Kasey Lawrence Call | Dentist | 4700 Bellview, Suite L10, Kansas City, MO 64112 | 2008-06-24 |
| 1154488872 | Joyce M Tobiasen | Psychologist | 1 Ward Parkway, Ste. 107, Kansas City, MO 64112 | 2007-01-02 |
| 1457446577 | Gary Patrick Morgan | Dentist | 801 W 47th Street, Ste 408, Kansas City, MO 64112 | 2006-10-04 |
| 1942393541 | Midwest Christian Counseling Center | Voluntary or Charitable | 4800 Main, Suite G29, Kansas City, MO 64112 | 2006-10-02 |
| 1154436715 | Gregory John Stelzer | Dentist | 315 Nichols Rd 198, Kansas City, MO 64112 | 2006-08-21 |
| 1477583136 | James Garrett Bunton | Dentist | 4635 Wyandotte, Suite 200, Kansas City, MO 64112 | 2006-07-05 |
| 1508271834 | Jessica Niederee | Dentist | 4746 Belleview Ave, Kansas City, MO 64112 | 2014-06-25 |
| 1720177249 | Bill Dean Geis | Psychologist | 4700 Belleview, Suite 212, Kansas City, MO 64112 | 2006-10-12 |
| Find all providers in zip 64112 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609233089 | Seth Rush, D.d.s., M.s., L.L.C. | Dentist | 9233 Ward Pkwy Ste 330, Kansas City, MO 64114-3310 | 2016-01-15 |
| 1861877227 | Pierluigi Balice | Dentist | 650 E 25th St # 277, Kansas City, MO 64108-2716 | 2015-07-28 |
| 1942335088 | Richard S Gilman Dds Ms PC | Dentist | 9225 Ward Parkway Suite 104, Kansas City, MO 64114 | 2007-02-22 |
| 1700890332 | Larry S. Jacobson, Dds, PC | Dentist | 6675 Holmes Rd Ste 690, Kansas City, MO 64131-1167 | 2006-07-28 |
| 1053791418 | John Rapley | Dentist | 650 E 25th St, Kansas City, MO 64108-2784 | 2015-06-01 |
| 1104237809 | Simon Macneill | Dentist | 650 E 25th St, Kansas City, MO 64108-2716 | 2014-05-15 |
| 1548698566 | Lynn Roosa Friesen | Dentist | 650 E 25th St, Room 101-o, Kansas City, MO 64108-2716 | 2013-10-30 |
| 1245671155 | Mabel Leonor Salas Martinez | Dentist | 650 E 25th St, Kansas City, MO 64108-2716 | 2013-07-09 |
| 1568728194 | Adam Craig Mcclellan | Dentist | 650 E 25th St, Kansas City, MO 64108-2716 | 2012-04-09 |
| 1871775437 | Richard Stephen Gilman | Dentist | 9233 Ward Pkwy, Suite 330, Kansas City, MO 64114-3366 | 2007-12-05 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64112 |
Please comment or provide details below to improve the information on DR. DOUGLAS MACDOWELL WALTERS.
| 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.