Active NPI
Aaron Tyrone Whitaker, DDS
- General Practice Dentistry
- Washington, DC
National Provider Identifier
1003938416
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(14) exclusion effective Jan 15, 2009.
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 004389
- Practice address
- 529 Florida Ave NW # 2
Washington, DC 20001-1850 - Phone
- (202) 232-2960
- Fax
- (202) 232-6000
- NPI assigned
- Apr 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 004389 | DC | Primary |
Addresses
Primary practice location
529 Florida Ave NW # 2
Washington, DC 20001-1850
Mailing address
529 Florida Ave NW # 2
Washington, DC 20001-1850
Phone (202) 232-2960
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004389 | Other | DC | LICENSE # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004389 | DC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003938416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "529 FLORIDA AVE NW # 2",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200011850",
"telephone_number": "202-232-2960",
"fax_number": "202-232-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "529 FLORIDA AVE NW # 2",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200011850",
"telephone_number": "202-232-2960",
"fax_number": "202-232-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITAKER",
"first_name": "AARON",
"middle_name": "TYRONE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "DC",
"license": "004389",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE #",
"identifier": "004389",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.