James Arthur Whitley Jr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5430 Issued in NC

Practice address

309 W Millbrook Rd
Suite 181
Raleigh, NC 27609-4385

Phone

(919) 789-0400

Fax

(919) 789-0440

NPI assigned

Oct 5, 2005

Last updated

Dec 23, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• James a Whitley, DDS PA

  • General Practice Dentistry
  • Raleigh, NC
  • NPI 1982633848
  NPD (past) Authorized official

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419292800000",
    "number": "1093702847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 GLENWOOD AVE",
            "address_2": "UNIT 407",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276031239",
            "telephone_number": "919-833-9213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 W MILLBROOK RD",
            "address_2": "SUITE 181",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094385",
            "telephone_number": "919-789-0400",
            "fax_number": "919-789-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITLEY",
        "first_name": "JAMES",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2014-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7999245",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "99245",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaylin Whitfield, RBT
• Jennifer Ke Whitham, M.D.
• Joshua Wesley Whitham, M.D.
• Emily Nicole Whiting, M.S., CCC-SLP
• Hannah R Whitley, MSW, LCSWA
• Katisha Whitley
• Elizabeth Keller Whitlock, PA-C
• Hillary Madison Whitlock, MSW, LCSW
• Keith Garrett Whitlock, MD
• Mackenzie Joyce Whitlow, OD

• General Practice Dentistry in Raleigh, NC
• Providers in Raleigh, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2014; 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.

Verify at the official NPI Registry.