DR. KELLY J. WALTERS D.D.S.
NPI 1508912742
Dentist - General Practice in Yuba City, CA

Active since January 27, 2007
1424 LIVE OAK BLVD, YUBA CITY, CA 95991(530) 751-1080(530) 751-1082 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kelly J. Walters D.d.s. NPPES

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

DR. KELLY J. WALTERS D.D.S. (NPI 1508912742) is an individual general practice provider in Yuba City, California, licensed in California (26797) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1508912742
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KELLY J. WALTERSCredential: D.D.S.
Location Address1424 LIVE OAK BLVDYuba City, CA 95991-2910
Mailing Address1424 Live Oak BlvdYuba City, CA 95991-2910 · (530) 751-1080 · Fax (530) 751-1082
Fax(530) 751-1082
Sole ProprietorYes
Enumeration DateJanuary 27, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1508912742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 26797
Definition
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.
1424 LIVE OAK BLVD, Yuba City, CA 95991

Other Providers at the Same Location NPPES 2

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

Dental Hygienist
1424 LIVE OAK BLVD
YUBA CITY, CA 95991
Dentist (General Practice)
1424 LIVE OAK BLVD
YUBA CITY, CA 95991

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 Kelly Walters's NPI number?

The NPI number for Kelly Walters is 1508912742. It was assigned to this individual provider in the NPPES registry on January 27, 2007.

Where is Kelly Walters located?

Kelly Walters practices at 1424 Live Oak Blvd, Yuba City, CA 95991. The listed phone number is (530) 751-1080.

What is Kelly Walters's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Kelly Walters was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.