KIMBERLY WALTERS (NPI# 1710236799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710236799 |
Entity Type | Individual |
Full Name | KIMBERLY WALTERS |
Credential | DMD |
Practice Address |
701 Park Avenue South Minneapolis MN 55415 |
Mailing Address |
1251 Lancaster Dr Ne, Suite A Salem OR 97301 |
Practice Telephone | 6128733000 |
Mailing Telephone | 5033912219 |
Enumeration Date | 2012-09-05 |
Last Update Date | 2020-04-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 122300000X | Dentist | D008447 | AZ | Dental Providers |
N | 122300000X | Dentist | D10041 | OR | Dental Providers |
N | 1223G0001X |
Dentist Specialization: General Practice |
61829 | CA | Dental Providers |
Address | Telephone Number | Fax Number |
---|---|---|
1705 W Main St, Mesa, AZ 852016920 | 4802477303 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710498803 | Kimberly Ann Walters | Dental Assistant | 11572 17th and C. Street, Tacoma, WA 98433 | 2017-10-17 |
1316018872 | Kimberly D Walters | Chiropractor | 3532 Fruitville Rd, Sarasota, FL 34237 | 2006-11-13 |
1720534274 | Kimberly Walters | Registered Nurse | 180 Sierra College Dr, Grass Valley, CA 95945-5768 | 2016-08-25 |
1063825321 | Kimberly Walters | Technician, Other | 4575 Se Dixie Hwy, Stuart, FL 34997-6826 | 2014-06-04 |
1548673874 | Kimberly Dawn Walters | Specialist/Technologist | 3721 Executive Center Dr, #201, Austin, TX 78731-1645 | 2014-06-04 |
1639474943 | Kimberly Ann Walters | Pharmacist | 39 Shortcut Road, Inchelium, WA 99138 | 2011-01-18 |
1609972132 | Kimberly Jo Walters | Occupational Therapist | 8501 Harcourt Rd, Indianapolis, IN 46260-2046 | 2006-09-15 |
Street Address |
701 PARK AVENUE SOUTH |
City | MINNEAPOLIS |
State | MN |
Zip Code | 55415 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134236284 | Patrick Yoon | Orthopaedic Surgery | 701 Park Avenue South, Minneapolis, MN 55415 | 2006-08-24 |
1497373559 | Marcela Viviana Kuijpers | Student in an Organized Health Care Education/Training Program | 701 Park Avenue South, Gme Internal Medicine, Minneapolis, MN 55415-1643 | 2020-07-06 |
1831695063 | Lauren Glennon | Student in an Organized Health Care Education/Training Program | 701 Park Avenue South, Emergency Center, Minneapolis, MN 55415 | 2018-04-05 |
1548716889 | Fiorela Calderon Sandoval | Student in an Organized Health Care Education/Training Program | 701 Park Avenue South, Minneapolis, MN 55415 | 2016-08-28 |
1740525609 | Andrew Busch | Psychologist | 701 Park Avenue South, Hennepin County Medical Center, Minneapolis, MN 55415 | 2012-12-04 |
1649432816 | Nathaniel Luedtke Scott | Emergency Medicine | 701 Park Avenue South, Hennepin Country Medical Center, Minneapolis, MN 55415-1623 | 2008-06-30 |
1649432808 | Caitlin Eccles-radtke | Internal Medicine | 701 Park Avenue South, Hennepin County Medical Center Revenue Management, Minneapolis, MN 55415 | 2008-06-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114547643 | Kevin Reininger | Pharmacist | 730 S 8th St., Pharmacy Department, Minneapolis, MN 55415 | 2020-04-24 |
1124674551 | Andrew Michael Baker | Pathology | Hennepin County Medical Examiner, 530 Chicago Ave, Minneapolis, MN 55415 | 2019-08-12 |
1598326951 | Monazza Iqbal Chaudhry | Student in an Organized Health Care Education/Training Program | Hennepin County Medical Center 701 Park Avenue, Minneapolis, MN 55415 | 2019-06-26 |
1760947196 | Brandon Haas | Pharmacist | 701 Park Ave Rll, Minneapolis, MN 55415 | 2019-02-11 |
1710474192 | Andrea Kramer | Student in an Organized Health Care Education/Training Program | Hennepin County Medical Center Emergency Medicine, 701 Park Avenue, Minneapolis, MN 55415 | 2018-04-20 |
1750888640 | Alexandra Rose Coward | Student in an Organized Health Care Education/Training Program | Hennepin County Medical Center - General Surgery, 701 Park Avenue, Minneapolis, MN 55415 | 2018-04-09 |
1194235861 | Gretchen Jane Vanderlinden-wang | Social Worker | Hennepin County Medical Center Adult Psychiatry Clinic, 701 Park Avenue, Shapiro Building, Suite S1.110, Minneapolis, MN 55415 | 2017-10-06 |
1720501117 | Dominique Lacha Jones | Advanced Practice Midwife | 716 South 7th Street, Purple Building Level 5, Minneapolis, MN 55415 | 2017-07-18 |
1669905618 | Joseph Douglas Steffens | Internal Medicine | 701 Park Avenue, Internal Medicine Residency Program, Hennepin County Medical Center, Minneapolis, MN 55415 | 2017-04-06 |
1215469689 | Michael Reitz | Student in an Organized Health Care Education/Training Program | 701 Park Avenue, B5.118, Minneapolis, MN 55415 | 2017-04-03 |
Find all providers in zip 55415 |
Taxonomy Code | 122300000X |
Grouping | Dental Providers |
Classification | Dentist |
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841850278 | Brendan Andrew Schleyer | Dentist | 515 Delaware St Se, Div of Periodontology, Moos Tower, 7-368, Minneapolis, MN 55455 | 2019-06-18 |
1871150417 | Muktar Farah | Dentist | 115 Broadway St Ne, Minneapolis, MN 55413-1805 | 2019-05-20 |
1831665603 | White Smiles Family Dentistry Pllc | Dentist | 1611 County Hwy 10, Minneapolis, MN 55432 | 2018-10-19 |
1861975245 | Sara Tejani | Dentist | 2232 Hennepin Ave. S., Minneapolis, MN 55405 | 2018-09-11 |
1811483795 | Minnesota Durable Medical Equipment LLC | Dentist | 15600 36th Ave N Ste 270, Minneapolis, MN 55446-3372 | 2018-07-03 |
1871010165 | Mayank Shrivastava | Dentist | 515 Delaware St Se # 6-320, Minneapolis, MN 55455-0357 | 2017-08-28 |
1659808079 | Christopher David Carvalho | Dentist | 515 Delaware St Se Fl 7, Minneapolis, MN 55455-0357 | 2017-05-16 |
1821449133 | Yannie Chea | Dentist | 616 Washington Ave Se Apt 213, Minneapolis, MN 55414-2998 | 2016-06-28 |
1245688969 | Daniel Jabs | Dentist | 7-368 Moos Tower, 515 Delaware St Se, Minneapolis, MN 55455 | 2016-06-03 |
1780039263 | Ursula Mcguckin | Dentist | 825 Nicollet Avenue #1025, Minneapolis, MN 55402 | 2016-05-03 |
Find all providers in MINNEAPOLIS |
City | MINNEAPOLIS |
Zip Code | 55415 |
Please comment or provide details below to improve the information on KIMBERLY 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.