Doris Jeanette Whatley, DMD, MSD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

5709 Issued in AL

Practice address

126 Brookridge Dr
Madison, AL 35758-7745

Phone

(256) 724-3120

NPI assigned

Aug 2, 2010

Last updated

Apr 19, 2022By the provider in NPPES

Sex

Female

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 1

Other names 1

• Dr. Jenny J Whatley Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AL

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

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

{
    "created_epoch": "1280707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1063726040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 BROOKRIDGE DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357587745",
            "telephone_number": "256-724-3120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 BROOKRIDGE DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357587745",
            "telephone_number": "256-724-3120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHATLEY",
        "first_name": "DORIS",
        "middle_name": "JEANETTE",
        "name_prefix": "Dr.",
        "credential": "DMD, MSD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-02",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "AL",
            "license": "5709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063726040",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "MADISON",
            "affiliation": "N",
            "address_1": "126 Brookridge Dr",
            "city": "Madison",
            "state": "AL",
            "country_code": "US",
            "postal_code": "357587745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JENNY",
            "last_name": "WHATLEY",
            "middle_name": "J",
            "prefix": "DR.",
            "credential": "ENDODONTIST",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Melissa Aberg West, M.D.
• Stephanie Leigh Westmoreland, RPH
• Mary Dawn Weston, LICSW
• Shalandra Whaley, MS
• Brittany Morgan Whatley, CRNA
• Alle-Maz Wheeler
• Whispering Pines, Inc. (Ardmore Eye Clinic)
• Staci Whitaker, LPC
• Chyna White
• Dionne Lashun White

• Endodontics in Madison, AL
• Providers in Madison, AL by specialty
• Endodontics in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.

Verify at the official NPI Registry.