Organization Active NPI

Sonya White, D. D. S., P.C.

  • General Practice Dentistry
  • Moss Point, MS
National Provider Identifier
1043535768
Registry record updated Apr 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2967 Issued in MS
Legal business name
SONYA WHITE, D. D. S., P.C.
Practice address
4014 Main St
Moss Point, MS 39563-4113
Phone
(228) 474-7645
Fax
(228) 474-6406
NPI assigned
Apr 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2010

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

Authorized official

Name
Dr. Sonya Falecia White, D.D.S.
Title
Dentist
Phone
(228) 474-7645

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2967 MS Primary

Addresses

Primary practice location

4014 Main St
Moss Point, MS 39563-4113

Mailing address

4014 Main St
Moss Point, MS 39563-4113
Phone (228) 474-7645

Other identifiers 1

IdentifierTypeStateIssuer
04727349MedicaidMS

National Provider Directory

National Provider Directory
Tax ID family
Sonya White D D S PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4014 Main St
Moss Point, MS 39563
Phone (228) 474-7645

NPI Registry JSON

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

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270512000000",
    "number": "1043535768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4014 MAIN ST",
            "city": "MOSS POINT",
            "state": "MS",
            "postal_code": "395634113",
            "telephone_number": "228-474-7645",
            "fax_number": "228-474-6406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4014 MAIN ST",
            "city": "MOSS POINT",
            "state": "MS",
            "postal_code": "395634113",
            "telephone_number": "228-474-7645",
            "fax_number": "228-474-6406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONYA WHITE, D. D. S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-06",
        "last_updated": "2010-04-06",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "SONYA",
        "authorized_official_middle_name": "FALECIA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "228-474-7645",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "2967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04727349",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moss Point, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; 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.