WALKE DENTISTRY PLLC - SERIES 1 (NPI# 1811598659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811598659 |
| Entity Type | Organization |
| Organization Name | WALKE DENTISTRY PLLC - SERIES 1 |
| Practice Address |
511 N Bluff St Guttenberg IA 52052-9465 |
| Mailing Address |
27428 Impala Rd Garber IA 52048-8107 |
| Practice Telephone | 6418328608 |
| Mailing Telephone | 6418328608 |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2020-11-06 |
| Authorized Official Name | DR. ALICIA KATHERINE WALKE (OWNER) |
| Authorized Official Telephone | 6418328608 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| River Town Family Dentistry | Doing Business As Name - Organization |
| Street Address |
511 N BLUFF ST |
| City | GUTTENBERG |
| State | IA |
| Zip Code | 52052-9465 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144602632 | Alicia Katherine Walke | Dentist | 511 N Bluff St., Guttenberg, IA 52052 | 2015-06-22 |
| 1952599664 | Carole Marie Glawe | Occupational Therapist | 200 Main St., Guttenberg, IA 52052 | 2007-10-09 |
| 1265640510 | Raul E Ruiz | General Practice | 927 Acre Street, Guttenberg, IA 52052 | 2007-05-18 |
| 1336217843 | Family Medicine Associates PC | Family Medicine | Second and Main Street, Guttenberg, IA 52052 | 2006-12-01 |
| 1609865435 | Michele L Dikkers | Family Medicine | 200 Main Street, Guttenberg, IA 52052 | 2005-10-14 |
| 1508152042 | Kimberly Nieman | Physical Therapist | 200 Main Street, Box 550, Guttenberg, IA 52052 | 2011-06-23 |
| 1528125267 | Georgia Sue Govier | Nurse Anesthetist, Certified Registered | 200 Main Street, Guttenberg, IA 52052 | 2007-01-02 |
| 1528128337 | Family Medicine Associates PC | Family Medicine | Second and Main Street, Guttenberg, IA 52052 | 2006-12-11 |
| 1093873804 | Family Medicine Associates PC | Family Medicine | Second and Main Street, Guttenberg, IA 52052 | 2006-12-05 |
| 1386679793 | Guttenberg Municipal Hospital | Nurse Anesthetist, Certified Registered | 200 Main St, Guttenberg, IA 52052 | 2006-07-12 |
| Find all providers in zip 52052 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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|---|---|---|---|---|
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| 1659904803 | Ikc, LLC | Clinic/Center | 8736 Nw 27th Court, Ankeny, IA 50023 | 2020-02-17 |
| 1861039927 | New Horizon Mental Health & Wellness | Clinic/Center | 600 4th St Ste 202, Sioux City, IA 51101-1605 | 2019-12-06 |
| 1619512845 | Rebound Chiropractic and Sports Medicine, LLC | Clinic/Center | 1201 Sw State St., Suite 111, Ankeny, IA 50023-5002 | 2019-11-12 |
| 1558904417 | Lakes Regional Healthcare | Clinic/Center | 2408 Zenith Avenue, Suite E, Spirit Lake, IA 51360 | 2019-10-23 |
| 1063971166 | Developmental Wellness, LLC | Clinic/Center | 5500 240th St, Ames, IA 50014-9501 | 2019-03-18 |
| 1790251924 | Spencer Municipal Hospital | Clinic/Center | 116 E 11th St Ste 208, Spencer, IA 51301-4363 | 2018-10-15 |
| 1578054698 | Ideal Option, Pllc | Clinic/Center | 817 Tower Park Drive, Waterloo, IA 50701-9027 | 2018-05-24 |
| 1417448754 | Ideal Option, Pllc | Clinic/Center | 4125 Gordon Dr, Sioux City, IA 51106-1304 | 2018-05-22 |
| 1770005068 | Mueller Chiropractic & Wellness Inc | Clinic/Center | 700 Main St Ste 213, Pella, IA 50219-1680 | 2017-07-09 |
| Find all providers with the same taxonomy | ||||
| City | GUTTENBERG |
| Zip Code | 52052 |
Please comment or provide details below to improve the information on WALKE DENTISTRY PLLC - SERIES 1.
| 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.