William Elvin Whitley, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

18712 Issued in TX

Practice address

1152 N Buckner Blvd Ste H100A
Dallas, TX 75218-3483

Phone

(214) 320-9679

Fax

(214) 320-9878

NPI assigned

Feb 18, 2009

Last updated

May 21, 2009By 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 names 1

• Dr. Bill Whitley Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1234915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242864000000",
    "number": "1093954869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5847 CLENDENIN AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752286038",
            "telephone_number": "214-328-9349",
            "fax_number": "214-319-9349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1152 N BUCKNER BLVD STE H100A",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752183483",
            "telephone_number": "214-320-9679",
            "fax_number": "214-320-9878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITLEY",
        "first_name": "WILLIAM",
        "middle_name": "ELVIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-18",
        "last_updated": "2009-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "18712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BILL",
            "last_name": "WHITLEY",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Zachary Whitham
• Adrienne Marie Whiting, OTR-L
• Karin Whitla-Simons, BA ASST. SLP
• Bonnie Whitley, RN
• Karla Whitley, R.D., L.D.
• Warren D Whitlow, M.D.
• Frances Ellen Whitman, M.D.
• Jeannie B. Whitman, PH.D.
• Jeffrey Whitman, M.D.
• Misty Whitmire

• Dentist in Dallas, TX
• Providers in Dallas, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2009; 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.