Ralph Michael Whitaker, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15003 Issued in OH

Practice address

2203 Maple Ave
Zanesville, OH 43701-2026

Phone

(740) 454-8148

Fax

(740) 454-8413

NPI assigned

Dec 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414108800000",
    "number": "1215093885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2203 MAPLE AVE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437012026",
            "telephone_number": "740-454-8148",
            "fax_number": "740-454-8413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 MAPLE AVE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437012026",
            "telephone_number": "740-454-8148",
            "fax_number": "740-454-8413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITAKER",
        "first_name": "RALPH",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2014-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "15003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0294999",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Wheeler
• Linda Kay Whikehart, LISW, LICDC
• Vicki Ann Whitacre, MD
• Deseree Passion Whitaker
• Nicole Susan Whitaker, O.D.
• Jasmine Hessam White, PA
• Lori Ann White, LPN
• Raya White, DNP, APRN, PMHNP BC
• Junior Eli Whitlatch, BA, QMHS
• Whitney McLain

• General Practice Dentistry in Zanesville, OH
• Providers in Zanesville, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.