BRENDEN WALTER DDS
NPI 1710674254
Dentist in Owosso, MI

Q: What is Brenden Walter's NPI number?

The NPI number for Brenden Walter is 1710674254. It was assigned to this individual provider in the NPPES registry on April 24, 2023.

Q: What is Brenden Walter's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Brenden Walter was last updated on August 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 24, 2023PECOS Enrolled

GREAT LAKES BAY HEALTH CENTERS, 200 N CALEDONIA, OWOSSO, MI 48867(989) 720-4822(989) 921-4959 Get Directions Write a Review

NPPES record last updated: August 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Brenden Walter Dds NPPES

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

BRENDEN WALTER DDS (NPI 1710674254) is an individual dentist in Owosso, Michigan, licensed in Michigan (2901601826) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710674254

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameBRENDEN WALTERCredential: DDS

Location AddressGREAT LAKES BAY HEALTH CENTERS, 200 N CALEDONIAOwosso, MI 48867

Mailing Address501 Lapeer AveSaginaw, MI 48607-1203 · (989) 720-4188 · Fax (989) 921-4959

Phone(989) 720-4822

Fax(989) 921-4959

Sole ProprietorNo

Enumeration DateApril 24, 2023

Last NPPES UpdateAugust 15, 2023

NPPES CertifiedAugust 15, 2023

✔ NPI 1710674254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MI · 2901601826

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.

GREAT LAKES BAY HEALTH CENTERS, Owosso, MI 48867

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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)

Brenden Walter Dds 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 48867 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

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 Brenden Walter's NPI number?

The NPI number for Brenden Walter is 1710674254. It was assigned to this individual provider in the NPPES registry on April 24, 2023.

Where is Brenden Walter located?

Brenden Walter practices at Great Lakes Bay Health Centers 200 N Caledonia, Owosso, MI 48867. The listed phone number is (989) 720-4822.

What is Brenden Walter's specialty?

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

Is Brenden Walter enrolled in Medicare?

Yes. Brenden Walter is registered in the Medicare PECOS enrollment system.

What insurance does Brenden Walter accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, BEST Life and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 12 other insurers list Brenden Walter 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 Brenden Walter was last updated on August 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.