Active NPI
Shantal J White, DDS
- Pediatric Dentistry
- Silver Spring, MD
National Provider Identifier
1114471026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 18000
- Practice address
- 13975 Connecticut Ave Ste 208
Silver Spring, MD 20906-2921 - Phone
- (301) 598-3951
- NPI assigned
- Aug 9, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 0401417251 | VA | |
| Pediatric Dentistry | 1223P0221X | 18000 | MD | Primary |
Addresses
Primary practice location
13975 Connecticut Ave Ste 208
Silver Spring, MD 20906-2921
Mailing address
1400 Granby St Unit 304
Norfolk, VA 23510-2666
Phone (210) 789-6291
Other practice location 1
237 Hanbury Rd E Ste 30
Chesapeake, VA 23322-6622
Phone (757) 547-2134
Other practice location 2
101 West Coast Rd
Redway, CA 95560-0769
Phone (707) 923-2783
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18000 | MD | MD | Clinical Social Worker |
| 0401417251 | VA | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maryland Dental Specialty Group | Past | Accepting new patients |
Interoperability endpoints
- shantal.white.p1@direct.rrhc.nextgenshare.com
Organizations & group practices 1
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.
-
- Dentist
- Silver Spring, MD
- NPI 1003167727
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746057600000",
"number": "1114471026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 GRANBY ST UNIT 304",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235102666",
"telephone_number": "210-789-6291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13975 CONNECTICUT AVE STE 208",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209062921",
"telephone_number": "301-598-3951"
}
],
"practiceLocations": [
{
"address_1": "237 Hanbury Rd E Ste 30",
"address_purpose": "LOCATION",
"city": "Chesapeake",
"state": "VA",
"postal_code": "233226622",
"country_code": "US",
"telephone_number": "757-547-2134",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 West Coast Rd",
"address_purpose": "LOCATION",
"city": "Redway",
"state": "CA",
"postal_code": "955600769",
"country_code": "US",
"telephone_number": "707-923-2783",
"fax_number": "707-923-1688",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITE",
"first_name": "SHANTAL",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-09",
"last_updated": "2025-05-01",
"certification_date": "2025-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "VA",
"license": "0401417251",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "MD",
"license": "18000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.