Active NPI
Tommy Bernard White, DMD
- Prosthodontics
- Camp Pendleton, CA
National Provider Identifier
1013031244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- DS021317L
- Practice address
- Naval Hospital Camp Pendleton
Dental Department
Camp Pendleton, CA 92055 - Phone
- (760) 725-1200
- Fax
- (760) 725-1539
- NPI assigned
- Mar 16, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | DS021317L | PA | Primary |
Addresses
Primary practice location
Naval Hospital Camp Pendleton
Dental Department
Camp Pendleton, CA 92055
Mailing address
P.O. Box 555191
Naval Hospital Camp Pendleton, Dental Department
Camp Pendleton, CA 92055
Phone (760) 725-1200
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS021317L | PA | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013031244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 555191",
"address_2": "NAVAL HOSPITAL CAMP PENDLETON, DENTAL DEPARTMENT",
"city": "CAMP PENDLETON",
"state": "CA",
"postal_code": "92055",
"telephone_number": "760-725-1200",
"fax_number": "760-725-1539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NAVAL HOSPITAL CAMP PENDLETON",
"address_2": "DENTAL DEPARTMENT",
"city": "CAMP PENDLETON",
"state": "CA",
"postal_code": "92055",
"telephone_number": "760-725-1200",
"fax_number": "760-725-1539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "TOMMY",
"middle_name": "BERNARD",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "PA",
"license": "DS021317L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camp Pendleton, CA
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.