DR. KEVIN MARTIN WALSH (NPI# 1518033174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518033174 |
| Entity Type | Individual |
| Full Name | DR. KEVIN MARTIN WALSH |
| Credential | DDS MS |
| Practice Address |
6651 Chippewa Suite 221 St Louis MO 63109-2531 |
| Mailing Address |
6651 Chippewa Suite 221 Lansdowne Medical Building St Louis MO 63109-2531 |
| Practice Telephone | 3143512588 |
| Practice Fax Number | 3143513334 |
| Mailing Telephone | 3143512588 |
| Mailing Fax Number | 3143513334 |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
00580 | MO | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DELTA DENTAL INSURANCE | 2012963 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356419345 | Kevin Michael Walsh | Social Worker | 41-51 East 11th Street, 4th Floor, New York, NY 10003 | 2006-11-30 |
| 1346336302 | Kevin Patrick Walsh | Counselor | 2414 Park Ave, Minneapolis, MN 55404-3713 | 2006-10-05 |
| 1649214438 | Kevin Walsh | Physician Assistant | Saint Barnabas Medical Center, Old Short Hills Road, Livingston, NJ 07039 | 2006-06-15 |
| 1922561075 | Kevin Cunningham Walsh | Student in an Organized Health Care Education/Training Program | 750 E Adams St, Syracuse, NY 13210-2306 | 2019-04-06 |
| 1679035414 | Kevin Patrick Walsh | Student in an Organized Health Care Education/Training Program | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2019-04-02 |
| 1326508656 | Kevin William Walsh | Student in an Organized Health Care Education/Training Program | 501 W 14th St, Wilmington, DE 19801-1013 | 2019-03-22 |
| 1750773339 | Kevin Walsh | Registered Nurse | 625 W Washington Ave, Madison, WI 53703-2637 | 2015-02-19 |
| 1285058883 | Kevin Walsh | Pharmacist | 901 S State Rd, Davison, MI 48423-1721 | 2014-02-18 |
| 1982042073 | Kevin Michael Walsh | Nurse Practitioner | 11100 Euclid Ave, Lt 9001, Cleveland, OH 44106-1716 | 2013-06-11 |
| 1508200429 | Kevin Martin Walsh | Pediatrics | 747 52nd St, Room 245, Oakland, CA 94609-1809 | 2013-04-22 |
| Street Address |
6651 CHIPPEWA SUITE 221 |
| City | ST LOUIS |
| State | MO |
| Zip Code | 63109-2531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952387516 | Wallace P Berkowitz Md Ltd | Otolaryngology | 6651 Chippewa, Ste 324, St Louis, MO 63109-2538 | 2005-12-15 |
| 1396865499 | Narendir T Soorya Inc | Psychiatry & Neurology | 6651 Chippewa, St Louis, MO 63109-2538 | 2007-03-30 |
| 1083782171 | Joseph Peter Vitale | Chiropractor | 6651 Chippewa, Suite 311, St Louis, MO 63109 | 2006-11-30 |
| 1831112861 | Susan W Blain | Psychologist | 6651 Chippewa, Ste 223, St Louis, MO 63109-2531 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013431907 | James Edward Trout | Community Health Worker | 3956 Wenzlick Ave, St Louis, MO 63109 | 2017-08-01 |
| 1750815023 | Andrea Hyde | Nurse Practitioner | 5302 Chippewa Street, Suite 301, St Louis, MO 63109 | 2017-04-13 |
| 1215362124 | Alex Sharifian Dds Francis Park Dentistry PC | Dentist | 6650 Chippewa Street, Saint Louis, MO 63109 | 2013-09-10 |
| 1881993962 | Rachel Elizabeth Hale Hasper | Counselor | 6555 Chippewa, St Louis, MO 63109 | 2011-03-15 |
| 1730369885 | Janis Marie Lampa | Physical Therapist | 5203 Chippewa, Suite 301, St. Louis, MO 63109 | 2007-11-06 |
| 1285753772 | James Matthew Jordan | Occupational Therapist | 32 Hampton Village Plaza, St Louis, MO 63109 | 2007-03-28 |
| 1730224478 | Mercy Health Services, LLC | Optometrist | 34 Hampton Village Plaza, St. Louis, MO 63109 | 2007-02-20 |
| 1801959903 | John Thomas Doyle | Dentist | 5400 Walsh St, St Louis, MO 63109 | 2006-12-19 |
| 1649339771 | Residencial Services Corporation | Assisted Living Facility | 5890 Eichelberger, St Louis, MO 63109 | 2006-12-06 |
| 1316039852 | Gary Raymond Rieser | Dentist | 3915 Watson Road, Suite 205, Saint Louis, MO 63109 | 2006-09-29 |
| Find all providers in zip 63109 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063527604 | William L Mastorakos | Dentist | 10115 Manchester Rd, Ste 200, St Louis, MO 63122 | 2006-08-21 |
| 1487155925 | Gateway Dental Group Schreiner Dds LLC | Dentist | 7171 Delmar Blvd Ste 201, St Louis, MO 63130 | 2018-02-21 |
| 1679533608 | James Michael Oleskevich | Dentist | 11810 Gravois Rd, St Louis, MO 63127-1829 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649878034 | Soh of Missouri Samson Liu PC | Dentist | 810 Ofallon Rd Ste 70, Weldon Spring, MO 63304-8107 | 2020-10-16 |
| 1952918054 | Candid Missouri, LLC | Dentist | 7431 Broadway, Kansas City, MO 64114-1529 | 2020-09-23 |
| 1659915098 | Cheif Smiles LLC | Dentist | 620 E. Us Highway 40, Blue Springs, MO 64014 | 2019-10-29 |
| 1780140459 | Evan W Brown Dds Inc | Dentist | 160 Four Seasons Shopping Ctr, Chesterfield, MO 63017-3104 | 2019-02-18 |
| 1376014852 | Catherine Loner | Dentist | 1470 S New Florissant Rd, Florissant, MO 63031-8198 | 2018-12-10 |
| 1972079556 | Erin Corsi Fraundorf | Dentist | 3009 State Hwy K, O'fallon, MO 63368 | 2018-10-22 |
| 1699281121 | St Louis South Orthodontics | Dentist | 9911 Kennerly Rd Ste H, Saint Louis, MO 63128-2700 | 2017-12-20 |
| 1023557766 | Uncommon Orthodontics By William A. Pickard, Dds, Ms, Pllc | Dentist | 2330 S Range Line Rd Ste E, Joplin, MO 64804-3267 | 2017-02-14 |
| 1023556743 | Mark Humphrey | Dentist | 8657 Old Bonhomme Rd, Saint Louis, MO 63132-3901 | 2017-02-01 |
| 1912458688 | Jerry F. Cash | Dentist | 2844 S Ingram Mill Rd, Springfield, MO 65804-4042 | 2016-10-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. KEVIN MARTIN WALSH.
| 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.