Mark Blythe Whaley, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS0000007181 Issued in TN

Practice address

205 Ward Cir Ste 2
Brentwood, TN 37027-7552

Phone

(615) 373-4242

Fax

(615) 373-4566

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

Yes

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124130737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 WARD CIR STE 2",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277552",
            "telephone_number": "615-373-4242",
            "fax_number": "615-373-4566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 WARD CIR STE 2",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277552",
            "telephone_number": "615-373-4242",
            "fax_number": "615-373-4566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHALEY",
        "first_name": "MARK",
        "middle_name": "BLYTHE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS0000007181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela D West, PHD
• Carolyn Negley Wester, M.D., M.P.H.
• Western First Assist LLC
• Jeannette Weyant
• Andrea Deann Whalen
• Barbara Wharton
• April Marie Wheeler, D.P.T.
• White County Physician Services Inc
• Anna White
• Catherine Ann White

• General Practice Dentistry in Brentwood, TN
• Providers in Brentwood, TN by specialty
• General Practice Dentistry 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.