Walter Tickner, DDS
NPI 1962516211 · Dentist · San Leandro, CA
Enrolled with Medicare as Order and Referring Only - Oral Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Walter Tickner, DDS is a Dentist provider in San Leandro, CA (NPI 1962516211).
Provider details
- NPI number
- 1962516211
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 23418 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-17
- Last updated
- 2012-01-05
Frequently asked questions
- What is Walter Tickner's NPI number?
- Walter Tickner's National Provider Identifier (NPI) is 1962516211, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Walter Tickner's specialty?
- Walter Tickner is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Walter Tickner located?
- Walter Tickner's practice location on file with NPPES is 1736 E 14th St, San Leandro, CA 94577-4803.
- What is Walter Tickner's phone number?
- The practice phone number listed in the NPPES registry for Walter Tickner is (510) 351-1400.
- Does Walter Tickner accept Medicare?
- Walter Tickner is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Walter Tickner's NPI active?
- Yes — Walter Tickner's NPI (1962516211) is active in the NPPES registry as of the last update on 2012-01-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.