DR. JERRY DEAN WALKER (NPI# 1306093067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306093067 |
| Entity Type | Individual |
| Full Name | DR. JERRY DEAN WALKER |
| Credential | DDS |
| Practice Address |
201 Dental Science S College of Dentistry Iowa City IA 52242-1001 |
| Practice Telephone | 3193357480 |
| Mailing Telephone | 3193357480 |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2008-08-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
05215 | IA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598319113 | Jerry Elton Walker Jr. | Specialist/Technologist | 1008 Absecon Blvd, Atlantic City, NJ 08401-2536 | 2019-07-31 |
| 1053641126 | Jerry W Walker | Dentist | 6060 N Bay Ridge Ave, Milwaukee, WI 53217-4663 | 2010-01-12 |
| 1700984440 | Jerry L Walker | Dentist | 4303 Bridgeport Way W, University Place, WA 98466-4334 | 2006-09-20 |
| 1861461485 | Jerry Don Walker | Chiropractor | 105 Boland St, Fort Worth, TX 76107-1221 | 2006-03-16 |
| 1154310373 | Jerry H Walker | Dentist | 390 South 3rd West, Soda Springs, ID 83276 | 2005-10-20 |
| 1467066316 | Jerry Keith Walker | Dentist | 1314 N Yarbrough Dr, El Paso, TX 79925-7802 | 2020-09-08 |
| 1770851933 | Jerry Vanzant Walker IIi | Psychologist | 987400 Nebraska Medical Center, Omaha, NE 68198-7400 | 2011-12-02 |
| 1649238866 | Jerry D Walker Jr. | Internal Medicine | 30 N 1900 E, Room 4a100 Som, Salt Lake City, UT 84132 | 2006-05-04 |
| 1699766089 | Jerry W Walker | Counselor | 2702 Cunningham Ave, Ste A, Joplin, MO 64804-1570 | 2005-11-03 |
| Street Address |
201 DENTAL SCIENCE S COLLEGE OF DENTISTRY |
| City | IOWA CITY |
| State | IA |
| Zip Code | 52242-1001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023265170 | Cody S Johnson | Dentist | 201 Dental Science S, Iowa City, IA 52242-1001 | 2008-08-20 |
| 1679929202 | Zachary Percival | Student in an Organized Health Care Education/Training Program | 201 Dental Science S, Iowa City, IA 52242-1001 | 2016-05-12 |
| 1639557028 | Amy Barbara Lesch | Dentist | 201 Dental Science S, Iowa City, IA 52242 | 2015-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033738679 | Shannon Louise Miers | Physical Therapist | Ui Sports Medicine (iosmr), 2701 Prairie Meadow Drive, Iowa City, IA 52242 | 2020-04-14 |
| 1821624230 | Victoria Troesch | Student in an Organized Health Care Education/Training Program | 375 Newton Rd, Iowa City, IA 52242 | 2020-03-17 |
| 1891338539 | Kira Ann Hennes Blum | Dietitian, Registered | 930 Evashevski Dr., Jacobson Building, Iowa City, IA 52242 | 2019-10-25 |
| 1407330483 | Kristin L Heider | Psychologist | 616 E Bloomington Street, Iowa City, IA 52242 | 2018-09-17 |
| 1447738398 | Allison Kral | Dietitian, Registered | 200 Hawkins Dr. W146 Gh, Iowa City, IA 52242 | 2018-08-02 |
| 1528544780 | Abigail Lynne Schiltz | Physician Assistant | 200 Hawkins Dr 01290a Pfp, Iowa City, IA 52242 | 2018-07-11 |
| 1710474259 | Bashar H. H. Abuqayas | Hospitalist | 200 Hawkins Dr, Se 636 Gh, Uihc-internal Medicine, Iowa City, IA 52242 | 2018-04-19 |
| 1023547395 | Tyler Quist | Internal Medicine | 200 Hawkins Dr Dept of Ophthalmology, Iowa City, IA 52242 | 2017-06-08 |
| 1972962371 | Angeleah Korin Whitlatch | Social Worker | 100 Hawking Drive, Iowa City, IA 52242 | 2016-02-15 |
| 1649667734 | Jennie Sertterh | Specialist/Technologist | 1 Elliot Drive, S181 Carver Hawkeye Arena, Iowa City, IA 52242 | 2015-04-16 |
| Find all providers in zip 52242 | ||||
| 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 |
|---|---|---|---|---|
| 1528483716 | Peter Joseph Stanley | Dentist | 201 Dental Science Bldg S., Iowa City, IA 52242-1001 | 2014-02-24 |
| 1023265170 | Cody S Johnson | Dentist | 201 Dental Science S, Iowa City, IA 52242-1001 | 2008-08-20 |
| 1083878763 | Donald Leslie Chi | Dentist | 2664 Hillside Dr, Iowa City, IA 52245-4808 | 2008-07-11 |
| 1992917181 | Yousef Mohammed Yousef | Dentist | 201 Dsb, University of Iowa, Iowa City, IA 52242 | 2007-05-03 |
| 1992926851 | Robert Burns | Dentist | 201 Dental Science S Bldg South, Iowa City, IA 52242-1001 | 2007-05-01 |
| 1902923576 | Kecia Suzanne Leary | Dentist | 201 Dental Science Bldg S, Iowa City, IA 52242-1001 | 2007-03-26 |
| 1639557028 | Amy Barbara Lesch | Dentist | 201 Dental Science S, Iowa City, IA 52242 | 2015-05-18 |
| 1205006061 | Matthew Kelly Geneser | Dentist | 322 Dental Science S, Iowa City, IA 52242-1001 | 2008-03-08 |
| 1356476048 | Barton John Thompson | Dentist | 1031 Wade St, Iowa City, IA 52240 | 2007-02-22 |
| 1164504726 | Pollyanne Iben | Dentist | 801 Newton Rd, Iowa City, IA 52242-1001 | 2006-10-20 |
| Find all providers in IOWA CITY | ||||
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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.