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Deactivated NPI 1962613489 Deactivated / Inactive NPI Male Practitioner

Dr. Jack Bryant Walker , DDS

Dentist - General Practice • Kemah, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jack Walker has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 25, 2007
NPI Deactivation Date June 03, 2019
Total Practice Duration ~12 Years of Practice (2007 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Jack Walker, DDS was a registered Dentist - General Practice practicing in Kemah, TX. Throughout an active medical career spanning 12 years, Dr. Walker provided care at the practice location at 1429 BAYSHORE DR until profile deactivation on 2019-06-03.

Practice Location & Contact Primary Location

Practice Address

1429 Bayshore Dr

Kemah, TX 775653045

Telephone 2813342174
Fax 2813347561

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Kemah, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
7 Specialists

Practicing in Kemah, TX (10570 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 6425

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 03, 2019

Record deactivated on June 03, 2019

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1429 BAYSHORE DR, KEMAH, TX 775653045 (Tel: 2813342174)

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Updated Business Mailing Address July 08, 2007

Registered at 1429 BAYSHORE DR, KEMAH, TX 775653045 (Tel: 2813342174)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JACK WALKER, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #6425 in TX)

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Initial NPI Registration & Enumeration May 25, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962613489
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 25, 2007
Last Update: July 08, 2007
Deactivation Date: June 03, 2019

Mailing Address

1429 Bayshore Dr

Kemah, TX 775653045

Phone: 2813342174

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.