Donald Robert Whitley, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4967 Issued in NC

Practice address

2306 Dr M L King Jr Blvd
New Bern, NC 28562-4449

Phone

(252) 636-3366

NPI assigned

Jul 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• East Carolina University

  • Family Medicine Physician
  • Greenville, NC
  • NPI 1972551919
  Medicare reassignment NPD
• East Carolina University

  • Internal Medicine Physician
  • Greenville, NC
  • NPI 1043260474
  NPD
• East Carolina University

  • General Practice Dentistry
  • Elizabeth City, NC
  • NPI 1497001127
  NPD
• Christopher B. Lane, DDS, PA

  • Dental Clinic/Center
  • New Bern, NC
  • NPI 1689245896
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023031804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2306 DR M L KING JR BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285624449",
            "telephone_number": "252-636-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2306 DR M L KING JR BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285624449",
            "telephone_number": "252-636-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITLEY",
        "first_name": "DONALD",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "4967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Takara White
• White'S Opticians, LLC
• Leah Whitehurst, OTR/L
• Courtney Marie Whitfield, PHARMD
• Tyecha Newsome Whitfield
• Gary T Whitlock, M.D.
• Robert Burton Whitmore III, MD
• Jessica Elizabeth Whittington, LCSW
• Allison Whitworth
• Maurits J. Wiersema, MD

• General Practice Dentistry in New Bern, NC
• Providers in New Bern, NC by specialty
• General Practice Dentistry in North Carolina

• 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; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.