Individual provider Active NPI

Josh Whatcott, DDS

  • General Practice Dentistry
  • Goodyear, AZ
National Provider Identifier
1164739736
Registry record updated Oct 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D8074 Issued in AZ
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

Updated by the provider on Oct 15, 2010

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

Specialties & licenses 1

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150908001856 AZ Order and Referring Only - DentistPractitioner - Dentist 8820304744

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D8074AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.