Katrina Carol White, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

4967 Issued in AL

Practice address

4330 Highway 78 E
Suite 121
Jasper, AL 35501-8905

Phone

(205) 384-9104

Fax

(205) 384-9102

NPI assigned

Mar 13, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Jasper Pediatric Dentistry, LLC

  • Pediatric Dentistry
  • Jasper, AL
  • NPI 1649303355
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164555967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 HIGHWAY 78 E",
            "address_2": "SUITE 121",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355018905",
            "telephone_number": "205-384-9104",
            "fax_number": "205-384-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 HIGHWAY 78 E",
            "address_2": "SUITE 121",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355018905",
            "telephone_number": "205-384-9104",
            "fax_number": "205-384-9102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "KATRINA",
        "middle_name": "CAROL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AL",
            "license": "4967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51506630",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taibele Karen Wesley, O.D.
• James Mason West
• Jan Westerman
• Kathy Wheeler-Scruggs, LPC
• Misty Whisenhunt, LPC
• Robert Wade White, ATC
• Rebekah L Whitt, SLP
• Michael D Wiggins, LPC
• James Greg Wilbanks, MD
• Donald Bryant Williams, M.D.

• Pediatric Dentistry in Jasper, AL
• Providers in Jasper, AL by specialty
• Pediatric Dentistry in Alabama

• 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.