Connie Lou White, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

013621 Issued in MO

Practice address

650 East 25TH Street
School of Dentistry
Kansas City, MO 64108-2784

Phone

(816) 235-2100

Fax

(816) 235-5472

NPI assigned

Apr 10, 2019

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554854400000",
    "number": "1083177695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 EAST 25TH STREET",
            "address_2": "SCHOOL OF DENTISTRY",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082784",
            "telephone_number": "816-235-2135",
            "fax_number": "816-235-5472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 EAST 25TH STREET",
            "address_2": "SCHOOL OF DENTISTRY",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082784",
            "telephone_number": "816-235-2100",
            "fax_number": "816-235-5472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "CONNIE",
        "middle_name": "LOU",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-10",
        "last_updated": "2019-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "013621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison White, PHARM.D.
• Ann White, PTA
• Blaire White, PHARMD, BCACP
• Bowen Faville White, MD
• Brynn H White, FNP-C
• Danna M White, D.C.
• Desirae Marie White, RN
• Heather Shea White
• Heidi Rose White
• Helen Patricia White

• General Practice Dentistry in Kansas City, MO
• Providers in Kansas City, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.