Gregory James Willhite, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12009379 Issued in IN

Practice address

303 Industrial Access Rd
Rising Sun, IN 47040-8915

Phone

(812) 438-2500

Fax

(812) 438-2591

NPI assigned

Jul 28, 2006

Sex

Male

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 IN

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

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1174537807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 INDUSTRIAL ACCESS RD",
            "city": "RISING SUN",
            "state": "IN",
            "postal_code": "470408915",
            "telephone_number": "812-438-2500",
            "fax_number": "812-438-2591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 INDUSTRIAL ACCESS RD",
            "city": "RISING SUN",
            "state": "IN",
            "postal_code": "470408915",
            "telephone_number": "812-438-2500",
            "fax_number": "812-438-2591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLHITE",
        "first_name": "GREGORY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12009379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Simply Beds LLC
• Connie Lou Smith
• Summit Medical Group, Inc. (St. Elizabeth Physicians)
• April Nicole Troxel, COTA
• Christopher Walcott, MD
• Kelly Erin Willhite, D.D.S.

• General Practice Dentistry in Rising Sun, IN
• Providers in Rising Sun, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.