Active NPI
Fadi E White
- Dentist
- Red Oak, TX
National Provider Identifier
1013399906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 33651
- Practice address
- 101 Austin Blvd Ste 100
Red Oak, TX 75154-4661 - Phone
- (469) 552-9944
- NPI assigned
- Jun 26, 2015
- Last updated
- Jul 29, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2901021618 | MI | |
| Dentist | 122300000X | 33651 | TX | Primary |
| General Practice Dentistry | 1223G0001X | 5315072202 | MI |
Addresses
Primary practice location
101 Austin Blvd Ste 100
Red Oak, TX 75154-4661
Mailing address
101 E Glade Rd Apt 3209
Grapevine, TX 76051-7310
Phone (586) 447-6833
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160113002293 | MI | Order and Referring Only - Oral Surgery | 4880996438 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901021618 | MI | MD | Dentist |
| 33651 | TX | MD | Dentist |
| 5315072202 | MI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fadi White DMD, PLLC | Current | Accepting new patients | |
| Smile Care Northeast, PLLC | Dentist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659052800000",
"number": "1013399906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 E GLADE RD APT 3209",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760517310",
"telephone_number": "586-447-6833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 AUSTIN BLVD STE 100",
"city": "RED OAK",
"state": "TX",
"postal_code": "751544661",
"telephone_number": "469-552-9944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "FADI",
"middle_name": "E",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-26",
"last_updated": "2022-07-29",
"certification_date": "2022-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901021618",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "33651",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "5315072202",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Red Oak, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.