WALTER F. TICKNER DDS
NPI 1962516211
Dentist in San Leandro, CA

Q: What is Walter Tickner's NPI number?

The NPI number for Walter Tickner is 1962516211. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Q: What is Walter Tickner'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 Walter Tickner was last updated on January 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 August 17, 2006PECOS Enrolled

1736 E 14TH ST, SAN LEANDRO, CA 94577(510) 351-1400(510) 351-3116 Get Directions Write a Review

NPPES record last updated: January 5, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Walter F. Tickner Dds NPPES

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

WALTER F. TICKNER DDS (NPI 1962516211) is an individual dentist in San Leandro, California, licensed in California (23418) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962516211

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameWALTER F. TICKNERCredential: DDS

Location Address1736 E 14TH STSan Leandro, CA 94577-4803

Mailing Address1736 E 14th StSan Leandro, CA 94577-4803 · (510) 351-1400 · Fax (510) 351-3116

Phone(510) 351-1400

Fax(510) 351-3116

Sole ProprietorYes

Enumeration DateAugust 17, 2006

Last NPPES UpdateJanuary 5, 2012

✔ NPI 1962516211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 23418

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.

1736 E 14TH ST, San Leandro, CA 94577

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Walter F. Tickner 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 94577 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$84.91 typical visit price

range $23.44 – $166.46

Typical copayment $21.22 (range $5.86 – $41.61)

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 2

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

WALTER F. TICKNER, DDS, INC.

Clinic/Center (Dental)

1736 E 14TH ST
SAN LEANDRO, CA 94577

Alameda County (510) 351-1400

DR. KAMIYA KHATWANI DDS

Dentist

1736 E 14TH ST
SAN LEANDRO, CA 94577

Alameda County (510) 969-4088

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 Walter Tickner's NPI number?

The NPI number for Walter Tickner is 1962516211. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Where is Walter Tickner located?

Walter Tickner practices at 1736 E 14th St, San Leandro, CA 94577. The listed phone number is (510) 351-1400.

What is Walter Tickner's specialty?

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

Is Walter Tickner enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Walter Tickner was last updated on January 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.