Active NPI
Josh Whatcott, DDS
- General Practice Dentistry
- Goodyear, AZ
National Provider Identifier
1164739736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D8074
- Practice address
- 105 N Litchfield Road
Goodyear, AZ 85338 - Phone
- (623) 932-3200
- Fax
- (623) 932-3222
- NPI assigned
- Sep 2, 2010
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D8074 | AZ | Primary |
Addresses
Primary practice location
105 N Litchfield Road
Goodyear, AZ 85338
Mailing address
10758 E Lobo Ave
Mesa, AZ 85209-3210
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- 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 |
|---|---|---|---|---|
| I20150908001856 | AZ | Order and Referring Only - Dentist | 8820304744 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D8074 | AZ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Dental Center, Inc | Past | Accepting new patients | |
| Metrocenter Az Dental PLLC | General Practice | Past | Accepting new patients |
| Katsur Dental of Arizona, Inc. | General Practice | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- General Practice Dentistry
- Goodyear, AZ
- NPI 1174771612
-
- General Practice Dentistry
- Phoenix, AZ
- NPI 1033685268
-
- Dentist
- Goodyear, AZ
- NPI 1508909300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287100800000",
"number": "1164739736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10758 E LOBO AVE",
"city": "MESA",
"state": "AZ",
"postal_code": "852093210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 N LITCHFIELD ROAD",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "85338",
"telephone_number": "623-932-3200",
"fax_number": "623-932-3222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHATCOTT",
"first_name": "JOSH",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-02",
"last_updated": "2010-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "D8074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goodyear, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; 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.