Organization Active NPI

Elizabeth White DDS PLLC

  • Dental Clinic/Center
  • Grand Rapids, MI
National Provider Identifier
1093385643
Registry record updated Jun 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ELIZABETH WHITE DDS PLLC
Practice address
6651 Crossings Dr SE
Grand Rapids, MI 49508-7894
Phone
(616) 698-6663
NPI assigned
Jun 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2021

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

Authorized official

Name
Dr. Elizabeth WhiteNPI 1386081040
Title
DDS
Phone
(616) 698-6663

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

6651 Crossings Dr SE
Grand Rapids, MI 49508-7894

Mailing address

6651 Crossings Dr SE
Grand Rapids, MI 49508-7894
Phone (616) 698-6663

Other names 1

  • Dr. Liz White at Peters Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

6651 Crossings Dr SE
Grand Rapids, MI 49508
Phone (616) 698-6663

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1624752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624752000000",
    "number": "1093385643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6651 CROSSINGS DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495087894",
            "telephone_number": "616-698-6663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6651 CROSSINGS DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495087894",
            "telephone_number": "616-698-6663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH WHITE DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-27",
        "last_updated": "2021-06-27",
        "certification_date": "2021-06-27",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "616-698-6663",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Liz White at Peters Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2021; 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.