Individual provider Active NPI

Katherine Lanway Whitaker, D.M.D

  • Dentist
  • Corbin, KY
National Provider Identifier
1225322217
Registry record updated Mar 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9021 Issued in KY
Practice address
213 S Main St
Corbin, KY 40701-1455
Phone
(606) 523-1415
Fax
(606) 528-9804
NPI assigned
Jun 7, 2011
Last updated
Mar 1, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 9021 KY Primary
Dentist 122300000X 9515 TN
General Practice Dentistry 1223G0001X 9021 KY

Addresses

Primary practice location

213 S Main St
Corbin, KY 40701-1455

Mailing address

213 S Main St
Corbin, KY 40701-1455
Phone (606) 523-1415

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20150725012623 TN Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1153634712

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9021KYMDGeneral Practice Dentistry
9515TNMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456790400000",
    "number": "1225322217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 S MAIN ST",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407011455",
            "telephone_number": "606-523-1415",
            "fax_number": "606-528-9804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 S MAIN ST",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407011455",
            "telephone_number": "606-523-1415",
            "fax_number": "606-528-9804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITAKER",
        "first_name": "KATHERINE",
        "middle_name": "LANWAY",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-07",
        "last_updated": "2016-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "9021",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "9515",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "9021",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corbin, KY

Sources for this page

Verify at the official NPI Registry.