John R. Whiteman, D.D.S
Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Niagara Falls, NY
NPI 1003008012 · NPPES record last updated Aug 14, 2007
Key facts
- NPI
- 1003008012
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- License
- 028190-1 (NY)
- Practice address
- 515 3Rd St
Niagara Falls, NY 14301-1507 - Phone
- (716) 285-3588
- Fax
- (716) 285-1083
- NPI assigned
- Aug 14, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 028190-1 | NY | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 028190-1 | NY | Yes |
Addresses
Primary practice location
515 3Rd St
Niagara Falls, NY 14301-1507
Mailing address
515 3Rd St
Niagara Falls, NY 14301-1507
Phone (716) 285-3588
Other providers in Niagara Falls, NY
- Western New York Truecare Medical PC
- Maureen Lynn Westgarth
- Wheatfield Family Chiropractic P.C.
- Stacie Dionne Whitaker
- Gloria J White
- Michael J Wiewiorski
- William Blanford DDS PLLC
- William Todd Wallens, MD, P.C.
- April Theresa Williams
- Esskreka Williams
All providers in Niagara Falls, NY · Orthodontics and Dentofacial Orthopedics Dentistry in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.