Active NPI
Kathryn McDaniel White, DMD
- General Practice Dentistry
- Greenville, SC
National Provider Identifier
1083970354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 8205
- Practice address
- 2101 Pelham Rd.
Greenville, SC 29615 - Phone
- (864) 288-5300
- Fax
- (864) 288-9430
- NPI assigned
- Apr 11, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 8205 | SC | Primary |
Addresses
Primary practice location
2101 Pelham Rd.
Greenville, SC 29615
Mailing address
PO Box 25604
2101 Pelham Rd.
Greenville, SC 29616-0604
Phone (864) 288-5300
Other names 1
- Kathryn Ellis McDaniel
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121019000437 | AL | Order and Referring Only - Oral Surgery | 9234389610 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8205 | SC | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wood Creek Dental PA | Past | Accepting new patients | |
| Hunt Family Dental, LLC | Past | Accepting new patients | |
| Wood Creek Dental of Landrum, PA | General Practice | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- General Practice Dentistry
- Landrum, SC
- NPI 1366606675
-
- Dentist
- Granville, SC
- NPI 1265440242
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547078400000",
"number": "1083970354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25604",
"address_2": "2101 PELHAM RD.",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296160604",
"telephone_number": "864-288-5300",
"fax_number": "864-288-9430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 PELHAM RD.",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "29615",
"telephone_number": "864-288-5300",
"fax_number": "864-288-9430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "KATHRYN",
"middle_name": "MCDANIEL",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-11",
"last_updated": "2019-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "8205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHRYN",
"last_name": "MCDANIEL",
"middle_name": "ELLIS",
"credential": "DMD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; 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.