Organization Active NPI

Jason P. White, DDS PA

  • Dental Clinic/Center
  • Lubbock, TX
National Provider Identifier
1053963561
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JASON P. WHITE, DDS PA
Practice address
4425 98TH St Ste 300
Lubbock, TX 79424-5037
Phone
(806) 795-5226
Fax
(806) 795-0362
NPI assigned
Jul 15, 2019
Last updated
Jul 15, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

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

Authorized official

Name
Corina Gomez
Title
Office Manager
Phone
(806) 795-5226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

4425 98TH St Ste 300
Lubbock, TX 79424-5037

Mailing address

4425 98TH St Ste 300
Lubbock, TX 79424-5037
Phone (806) 795-5226

National Provider Directory

National Provider Directory

Locations

4425 98th St
Ste 300
Lubbock, TX 79424
Phone (806) 795-5226

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": "1563148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563148800000",
    "number": "1053963561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 98TH ST STE 300",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794245037",
            "telephone_number": "806-795-5226",
            "fax_number": "806-795-0362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 98TH ST STE 300",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794245037",
            "telephone_number": "806-795-5226",
            "fax_number": "806-795-0362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON P. WHITE, DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-15",
        "last_updated": "2019-07-15",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "CORINA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "806-795-5226"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; 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.