Individual provider Active NPI

William David Whittle, DDS

  • Dentist
  • Benbrook, TX
National Provider Identifier
1083871602
Registry record updated Jan 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
23868 Issued in TX
Practice address
310 Mercedes St.
Benbrook, TX 76126
Phone
(817) 249-5522
NPI assigned
May 21, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 23868 TX Primary

Addresses

Primary practice location

310 Mercedes St.
Benbrook, TX 76126

Mailing address

310 Mercedes St.
Benbrook, TX 76126
Phone (817) 249-5522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20150731016329 TX Order and Referring Only - DentistPractitioner - Dentist 6406160696

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23868TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Whittle Dentistry PLLC Dentist CurrentSince Oct 21, 2025 Accepting new patients
William C. Whittle DDS PC Past Accepting new patients

Locations

310 Mercedes St
Benbrook, TX 76126
Phone (817) 249-5522

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516752000000",
    "number": "1083871602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 MERCEDES ST.",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "76126",
            "telephone_number": "817-249-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 MERCEDES ST.",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "76126",
            "telephone_number": "817-249-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTLE",
        "first_name": "WILLIAM",
        "middle_name": "DAVID",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-21",
        "last_updated": "2018-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "23868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benbrook, TX

Sources for this page

Verify at the official NPI Registry.