Lyle Manning Whitmore, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DS0000002219 Issued in TN

Practice address

6800 Poplar Ave
Ste 105
Memphis, TN 38138

Phone

(901) 756-0005

Fax

(901) 756-7334

NPI assigned

Apr 16, 2007

Last updated

Jul 8, 2007By 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

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": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114142775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 POPLAR AVE",
            "address_2": "STE 105",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38138",
            "telephone_number": "901-756-0005",
            "fax_number": "901-756-7334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 POPLAR AVE",
            "address_2": "STE 105",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38138",
            "telephone_number": "901-756-0005",
            "fax_number": "901-756-7334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITMORE",
        "first_name": "LYLE",
        "middle_name": "MANNING",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "DS0000002219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meris M Whitley, APRN
• Lawrence W Whitlock, MD
• Baillie Whitlow
• Carlisha Marie Whitlow, DNP
• Elizabeth Lane Whitman, MD
• Ellen Whitnack, MD
• Whitney Slade MD, LLC
• Carolyn Whitney, MD
• Steven Thomas Whitney, RPH
• Marisa Whitsett

• Dentist in Memphis, TN
• Providers in Memphis, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.