Active NPI
Kent Edward White, D.D.S.
- Dentist
- Nashville, TN
National Provider Identifier
1144482472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS 7094
- Practice address
- 2300 21St Ave S Ste 103
Nashville, TN 37212-4927 - Phone
- (615) 383-6787
- NPI assigned
- Jun 27, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS 7094 | TN | Primary |
Addresses
Primary practice location
2300 21St Ave S Ste 103
Nashville, TN 37212-4927
Mailing address
2300 21St Ave S Ste 103
Nashville, TN 37212-4927
Phone (615) 383-6787
Other practice location 1
177 W Main St
Hendersonville, TN 37075-3304
Phone (615) 824-4833
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240320003142 | TN | Order and Referring Only - Dentist | 0547607913 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS 7094 | TN | MD | Dentist |
| DN123769 | GA | MD | General Practice Dentistry |
| 7094 | TN | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569801600000",
"number": "1144482472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 21ST AVE S STE 103",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372124927",
"telephone_number": "615-383-6787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 21ST AVE S STE 103",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372124927",
"telephone_number": "615-383-6787"
}
],
"practiceLocations": [
{
"address_1": "177 W Main St",
"address_purpose": "LOCATION",
"city": "Hendersonville",
"state": "TN",
"postal_code": "370753304",
"country_code": "US",
"telephone_number": "615-824-4833",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITE",
"first_name": "KENT",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-27",
"last_updated": "2019-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "DS 7094",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; 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.