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KIMBERLY WALTERS DMD
NPI 1710236799
Dentist in Minneapolis, MN

Active since September 05, 2012PECOS Enrolled
701 PARK AVENUE SOUTH, MINNEAPOLIS, MN 55415(612) 873-3000 Get Directions Write a Review

NPPES record last updated: April 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 22, 2020, Dec 10, 2015 (2 updates tracked since 2015).

About Kimberly Walters Dmd NPPES

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

KIMBERLY WALTERS DMD (NPI 1710236799) is an individual dentist in Minneapolis, Minnesota, licensed in Arizona (D008447) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710236799
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameKIMBERLY WALTERSCredential: DMD
Location Address701 PARK AVENUE SOUTHMinneapolis, MN 55415
Mailing Address1251 Lancaster Dr Ne, Suite ASalem, OR 97301 · (503) 391-2219
Phone(612) 873-3000
Sole ProprietorNo
Enumeration DateSeptember 5, 2012
Last NPPES UpdateApril 22, 20202 updates tracked since enumeration
NPPES CertifiedApril 22, 2020
✔ NPI 1710236799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in AZ · D008447✔ Licensed in OR · D10041
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 61829 (CA)
701 PARK AVENUE SOUTH, Minneapolis, MN 55415
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life 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)

Kimberly Walters Dmd 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 55415 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 $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

ISSAC GEORGY MBBS
Student in an Organized Health Care Education/Training Program
701 PARK AVENUE SOUTH
MINNEAPOLIS, MN 55415
Hennepin County (612) 873-3000
WENDY MELISSA LOPEZ MORENO M.D.
Student in an Organized Health Care Education/Training Program
701 PARK AVENUE SOUTH
MINNEAPOLIS, MN 55415
Hennepin County (612) 873-3000
SOHAIL HUSSAIN MOHAMMAD MBBS
Student in an Organized Health Care Education/Training Program
701 PARK AVENUE SOUTH
MINNEAPOLIS, MN 55415
Hennepin County (612) 873-3000
EBERE MAUREEN UDE MD
Student in an Organized Health Care Education/Training Program
701 PARK AVENUE SOUTH
MINNEAPOLIS, MN 55415
Hennepin County (612) 873-3000
KSHITIJ SEHGAL M.B.B.S.
Student in an Organized Health Care Education/Training Program
701 PARK AVENUE SOUTH
MINNEAPOLIS, MN 55415
Hennepin County (612) 873-3000
MS. NEHA NANDITHA ADEPU
Student in an Organized Health Care Education/Training Program
701 PARK AVENUE SOUTH, HENNEPIN HEALTHCARE
MINNEAPOLIS, MN 55415
Hennepin County (612) 873-3000
OLUWATOBI KAZEEM OYENEYE MBBS
Student in an Organized Health Care Education/Training Program
701 PARK AVENUE SOUTH
MINNEAPOLIS, MN 55415
Hennepin County (612) 873-3000
AMEYA KUMAR MBBS
Student in an Organized Health Care Education/Training Program
701 PARK AVENUE SOUTH
MINNEAPOLIS, MN 55415
Hennepin County (612) 873-8722

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 Kimberly Walters's NPI number?

The NPI number for Kimberly Walters is 1710236799. It was assigned to this individual provider in the NPPES registry on September 5, 2012.

Where is Kimberly Walters located?

Kimberly Walters practices at 701 Park Avenue South, Minneapolis, MN 55415. The listed phone number is (612) 873-3000.

What is Kimberly Walters's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Kimberly Walters enrolled in Medicare?

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

What insurance does Kimberly Walters accept?

Health plans from Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross Blue Shield of Arizona and Blue Cross and Blue Shield of Montana and 13 other insurers list Kimberly 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 Kimberly Walters was last updated on April 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.