Individual provider Active NPI

Donald H Whitebread Jr., D.D.S.

  • General Practice Dentistry
  • Mountain View, CA
National Provider Identifier
1083798359
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
29687 Issued in CA
Practice address
1704 Miramonte Ave
Suite 1
Mountain View, CA 94040-3718
Phone
(650) 969-1188
Fax
(650) 969-4486
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 29687 CA Primary

Addresses

Primary practice location

1704 Miramonte Ave
Suite 1
Mountain View, CA 94040-3718

Mailing address

1704 Miramonte Ave
Suite 1
Mountain View, CA 94040-3766
Phone (650) 969-1188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
29687CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083798359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 MIRAMONTE AVE",
            "address_2": "SUITE 1",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940403766",
            "telephone_number": "650-969-1188",
            "fax_number": "650-969-4486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 MIRAMONTE AVE",
            "address_2": "SUITE 1",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940403718",
            "telephone_number": "650-969-1188",
            "fax_number": "650-969-4486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEBREAD",
        "first_name": "DONALD",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "29687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.