Jennifer Ann White, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901019404 Issued in MI

Practice address

113 E 7TH Street
PO Box 310
Manton, MI 49663

Phone

(231) 824-3711

Fax

(231) 824-3035

NPI assigned

Dec 1, 2006

Last updated

Jun 10, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in MI

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

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brite White Dental PLLC

  • Dental Clinic/Center
  • Manton, MI
  • NPI 1427776418
  Authorized official Same address or phone
• Professional Dental Associates PC

  • General Practice Dentistry
  • Big Rapids, MI
  • NPI 1992863401
  NPD (past)

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1164590691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 E 7TH STREET",
            "address_2": "PO BOX",
            "city": "MANTON",
            "state": "MI",
            "postal_code": "49663",
            "telephone_number": "231-824-3711",
            "fax_number": "231-824-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 E 7TH STREET",
            "address_2": "PO BOX 310",
            "city": "MANTON",
            "state": "MI",
            "postal_code": "49663",
            "telephone_number": "231-824-3711",
            "fax_number": "231-824-3035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2024-06-10",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901019404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Lynn Raymer I
• Chris Edward Ritter, DDS
• Nicole Danielle Schaub
• Mary Schmidt
• Hilda Schut

• General Practice Dentistry in Manton, MI
• Providers in Manton, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.

Verify at the official NPI Registry.