Individual provider Active NPI

Kent Edward White, D.D.S.

  • Dentist
  • Nashville, TN
National Provider Identifier
1144482472
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS 7094 Issued in TN
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

Updated by the provider on Sep 30, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240320003142 TN Order and Referring Only - DentistPractitioner - 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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
DS 7094TNMDDentist
DN123769GAMDGeneral Practice Dentistry
7094TNMDPhysician 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

Verify at the official NPI Registry.