Active NPI
Preston B White Sr., DMD
- Dentist
- Orlando, FL
National Provider Identifier
1174692123
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Jan 20, 2015.
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN10854
- Practice address
- 206 N Bumby Ave
Orlando, FL 32803 - Phone
- (407) 896-6617
- Fax
- (407) 896-9765
- NPI assigned
- Nov 6, 2006
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN10854 | FL | Primary |
Addresses
Primary practice location
206 N Bumby Ave
Orlando, FL 32803
Mailing address
206 N Bumby Ave
Orlando, FL 32803
Phone (407) 896-6617
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 144011 | Other | FL | CIGNA DENTAL |
| 939201 | Other | FL | DELTA DENTAL |
| 001506 | Other | FL | DENTICARE |
| 3816 | Other | FL | COMPBENEFITS ADP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN10854 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174692123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 N BUMBY AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32803",
"telephone_number": "407-896-6617",
"fax_number": "407-896-9765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 N BUMBY AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32803",
"telephone_number": "407-896-6617",
"fax_number": "407-896-9765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "PRESTON",
"middle_name": "B",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN10854",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA DENTAL",
"identifier": "144011",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL",
"identifier": "939201",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTICARE",
"identifier": "001506",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPBENEFITS ADP",
"identifier": "3816",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.