DR. RUSTY J WALKER (NPI# 1982793972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982793972 |
| Entity Type | Individual |
| Full Name | DR. RUSTY J WALKER |
| Credential | D.D.S. |
| Practice Address |
7501 W Deschutes Pl Kennewick WA 99336-7719 |
| Practice Telephone | 5097831960 |
| Practice Fax Number | 5097837576 |
| Mailing Telephone | 5097831960 |
| Mailing Fax Number | 5097837576 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DE00008974 | WA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | CONSCIOUS SEDATION | CS10000319 | 01 |
| WA | DEA | BW7203665 | 01 |
| WA | 5036876 | 05 | |
| WA | 5036546 | 05 |
| Street Address |
7501 W DESCHUTES PL |
| City | KENNEWICK |
| State | WA |
| Zip Code | 99336-7719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922097625 | John Brent Gill | Dentist | 7501 W Deschutes Pl, Kennewick, WA 99336-7719 | 2005-10-17 |
| 1821646134 | Lauren Barkley | Dentist | 7501 W Deschutes Pl, Kennewick, WA 99336-7719 | 2019-08-29 |
| 1144876905 | Yakima Valley Farm Workers Clinic | Dentist | 7501 W Deschutes Pl, Kennewick, WA 99336-7719 | 2019-08-16 |
| 1962723957 | Ethan Daniel Zuker | Dentist | 7501 W Deschutes Pl, Kennewick, WA 99336-7719 | 2010-06-14 |
| 1871673301 | Columbia Basin Pedicatric Dentistry | Dentist | 7501 W Deschutes Pl, Kennewick, WA 99336-7719 | 2006-10-17 |
| 1285723296 | Stacey R Kutsch | Dentist | 7501 W Deschutes Pl, Kennewick, WA 99336-7719 | 2006-10-11 |
| 1083703086 | Craig D Ritchie | Dentist | 7501 W Deschutes Pl, Kennewick, WA 99336-7719 | 2006-10-11 |
| 1649380783 | Joshua L Taff | Dentist | 7501 W Deschutes Pl, Kennewick, WA 99336-7719 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497393888 | Kelsie D Parvinen | Massage Therapist | 8350 W. Grandridge Blvd, Suite 100, Kennewick, WA 99336 | 2019-12-16 |
| 1508403858 | New U Women's Clinic & Aesthetics Pllc | Nurse Practitioner | 35 S Louisiana St, Suite A120, Kennewick, WA 99336 | 2019-12-05 |
| 1457901944 | Solar Mobility LLC | Durable Medical Equipment & Medical Supplies | 949 S Keller St, Kennewick, WA 99336 | 2019-09-17 |
| 1023662590 | Shane Arthur Gulley | Counselor | 500 N. Morain St Suite 1250, Kennewick, WA 99336 | 2019-08-01 |
| 1063973873 | Farah Saleem | Student in an Organized Health Care Education/Training Program | 212 W. 10th Avenue,suite 202, Kennewick, WA 99336 | 2019-03-26 |
| 1255897690 | Thomas Stanley Mcgowan | Student in an Organized Health Care Education/Training Program | Tri-cities Cancer Center, 7350 W. Deschutes Ave, Building A, Kennewick, WA 99336 | 2019-02-11 |
| 1770068280 | Remedy Urgent Mobile Medicine Pllc | Nurse Practitioner | 3311 West Clearwater Avenue, Suite D210, Kennewick, WA 99336 | 2018-10-01 |
| 1740767011 | Zachary Wilber Fournier | Specialist/Technologist | Toyota Center - 7000 West Grandridge Blvd, Kennewick, WA 99336 | 2018-07-19 |
| 1649780693 | Alan Arnold Hanson | Chiropractor | 8350 W. Grandridge Blvd #100, Kennewick, WA 99336 | 2017-10-04 |
| 1922528827 | Sarah Nicole Childress | Counselor | 415 North Morain St, Kennewick, WA 99336 | 2017-06-21 |
| Find all providers in zip 99336 | ||||
| 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 |
|---|---|---|---|---|
| 1285830703 | James Collette | Dentist | 2611 S Quillan Pl, Kennewick, WA 99338-1899 | 2007-06-22 |
| 1235342510 | David N Hamilton | Dentist | 3911 W 27th Ave, Suite 105, Kennewick, WA 99337-2483 | 2007-05-07 |
| 1427147404 | Larry W Loveridge | Dentist | 1921 S Arthur St, Kennewick, WA 99338-7719 | 2006-10-11 |
| 1922097625 | John Brent Gill | Dentist | 7501 W Deschutes Pl, Kennewick, WA 99336-7719 | 2005-10-17 |
| 1144876905 | Yakima Valley Farm Workers Clinic | Dentist | 7501 W Deschutes Pl, Kennewick, WA 99336-7719 | 2019-08-16 |
| 1053608331 | Kirk Thomas Morris | Dentist | 2611 S Quillan Pl, Kennewick, WA 99338-1899 | 2011-07-07 |
| 1376869248 | Childrens Dentistry James F Collette Dds & David N. Hamilton Dds | Dentist | 3911 W 27th Ave, Suite 105, Kennewick, WA 99337-2483 | 2010-04-15 |
| 1871673301 | Columbia Basin Pedicatric Dentistry | Dentist | 7501 W Deschutes Pl, Kennewick, WA 99336-7719 | 2006-10-17 |
| 1285723296 | Stacey R Kutsch | Dentist | 7501 W Deschutes Pl, Kennewick, WA 99336-7719 | 2006-10-11 |
| 1083703086 | Craig D Ritchie | Dentist | 7501 W Deschutes Pl, Kennewick, WA 99336-7719 | 2006-10-11 |
| Find all providers in KENNEWICK | ||||
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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.