Ron S White, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

18730 Issued in TX

Practice address

14101 West Hwy 290 Suite 200
Austin, TX 78737

Phone

(512) 894-4777

Fax

(512) 894-3426

NPI assigned

May 3, 2007

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

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

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262822400000",
    "number": "1023230489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4189 EAST HWY 290",
            "city": "DRIPPING SPRINGS",
            "state": "TX",
            "postal_code": "78620",
            "telephone_number": "512-501-3839",
            "fax_number": "888-854-6676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14101 WEST HWY 290 SUITE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78737",
            "telephone_number": "512-894-4777",
            "fax_number": "512-894-3426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "RON",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2010-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "18730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE LICENSE NUMBE",
            "identifier": "18730",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "470955437",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Diane White, CCC SLP
• Micah White, P.T.
• Neesha Marie White
• Pamela White, BCBA-D
• Robert Lynn White, DDS
• Sarah Shadae White, LCSW
• Schuyler Elizabeth White, M.S. SLP
• Sheronda White, LVN
• Susan E. White, PH.D.
• Tiffany Lynn White, FNP

• Dentist in Austin, TX
• Providers in Austin, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; 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.