1. Home
  2. Directory
  3. Missouri
  4. Kansas City
  5. Dentist
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. DOUGLAS MACDOWELL WALTERS D.D.S.
NPI 1487695169
Dentist - Periodontics in Kansas City, MO

Active since June 10, 2006PECOS Enrolled
411 NICHOLS RD, SUITE 236, KANSAS CITY, MO 64112(816) 753-0202(816) 753-0253 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Douglas Macdowell Walters D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DOUGLAS MACDOWELL WALTERS D.D.S. (NPI 1487695169) is an individual periodontics provider in Kansas City, Missouri, licensed in Missouri (2002011684) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487695169
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. DOUGLAS MACDOWELL WALTERSCredential: D.D.S.
Location Address411 NICHOLS RD, SUITE 236Kansas City, MO 64112-2000
Mailing Address411 Nichols Rd, Suite 236Kansas City, MO 64112-2000 · (816) 753-0202 · Fax (816) 753-0253
Phone(816) 753-0202
Fax(816) 753-0253
Sole ProprietorNo
Enumeration DateJune 10, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1487695169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in MO · 2002011684
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
411 NICHOLS RD, Kansas City, MO 64112
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Douglas Macdowell Walters D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64112 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $55.29 – $168.52
Typical copayment $21.45 (range $13.82 – $42.13)
Most-billed visit code 99203
Established Patient
$69.10 typical visit price
range $17.60 – $137.20
Typical copayment $17.27 (range $4.40 – $34.30)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JASON MATTHEW SANCHEZ D.D.S.
Dentist (General Practice)
411 NICHOLS RD, SUITE 204
KANSAS CITY, MO 64112
Jackson County (816) 561-0333
FOWLER C. JONES, ED D LIMITED LIABILITY COMPANY
Psychologist
411 NICHOLS RD, SUITE 217
KANSAS CITY, MO 64112
Jackson County (816) 931-9912
MR. CRAIG MCANDREW MA
Counselor
411 NICHOLS RD, SUITE 217
KANSAS CITY, MO 64112
Jackson County (816) 931-9912
DR. BONNIE B. BUCHELE PH.D.
Psychologist (Clinical)
411 NICHOLS RD, SUITE 194
KANSAS CITY, MO 64112
Jackson County (816) 531-2600
DR. CHARLES F BREUSING DDS
Dentist (General Practice)
411 NICHOLS RD, SUITE 241
KANSAS CITY, MO 64112
Jackson County (816) 561-2800
CHARLES F. BREUSING, D.D.S.,PC
Dentist (General Practice)
411 NICHOLS RD, SUITE 241
KANSAS CITY, MO 64112
Jackson County (816) 561-2800
LOUIS JAY KOCH LSCSW
Social Worker (Clinical)
411 NICHOLS RD, SUITE 251
KANSAS CITY, MO 64112
Jackson County (816) 561-5700
DR. RICHARD A PADLEY DDS
Dentist (Periodontics)
411 NICHOLS RD, SUITE 204
KANSAS CITY, MO 64112
Jackson County (816) 931-2122

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Douglas Walters's NPI number?

The NPI number for Douglas Walters is 1487695169. It was assigned to this individual provider in the NPPES registry on June 10, 2006.

Where is Douglas Walters located?

Douglas Walters practices at 411 Nichols Rd Suite 236, Kansas City, MO 64112. The listed phone number is (816) 753-0202.

What is Douglas Walters's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Douglas Walters enrolled in Medicare?

Yes. Douglas Walters is registered in the Medicare PECOS enrollment system.

What insurance does Douglas Walters accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 7 other insurers list Douglas Walters as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Douglas Walters was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.