KIMBERLY WALTERS


Address: 701 Park Avenue South, Minneapolis, MN 55415
Phone: 6128733000

KIMBERLY WALTERS (NPI# 1710236799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
1705 W Main St, Mesa, AZ 852016920 4802477303

Other Providers KIMBERLY WALTERS

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

Office Location

Street Address 701 PARK AVENUE SOUTH
City MINNEAPOLIS
State MN
Zip Code 55415

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

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

Providers in the same taxonomy and city

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

Competitor

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City MINNEAPOLIS
Zip Code 55415

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Dataset Information

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.

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