NPIMap

Organization Active NPI

WJ Partnership

Doing business as White and Johnson Pediatric Dentistry

  • Pediatric Dentistry
  • Wilmington, NC
National Provider Identifier
1013381409
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
WJ PARTNERSHIP
Doing business as
White and Johnson Pediatric Dentistry
Practice address
109 Mendenhall Dr Ste a
Wilmington, NC 28411-9124
Phone
(910) 686-1869
Fax
(910) 319-6014
NPI assigned
Nov 23, 2015
Last updated
Jan 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Halley Rhodes White, DDS, PANPI 1316037799
Title
General Partner
Phone
(910) 686-1869

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X NC Primary

Addresses

Primary practice location

109 Mendenhall Dr Ste a
Wilmington, NC 28411-9124

Mailing address

109 Mendenhall Dr Ste a
Wilmington, NC 28411-9124
Phone (910) 540-5967

Other names 1

  • White and Johnson Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

109 Mendenhall Dr
Ste A
Wilmington, NC 28411
Phone (910) 686-1869

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1448236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609804800000",
    "number": "1013381409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 MENDENHALL DR STE A",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284119124",
            "telephone_number": "910-540-5967",
            "fax_number": "910-319-6014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 MENDENHALL DR STE A",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284119124",
            "telephone_number": "910-686-1869",
            "fax_number": "910-319-6014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WJ PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-23",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "HALLEY",
        "authorized_official_middle_name": "RHODES",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "910-686-1869",
        "authorized_official_credential": "DDS, PA"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White and Johnson Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "White and Johnson Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.