Individual provider Active NPI

John Lawrence Whittle, DDS

  • General Practice Dentistry
  • Dublin, GA
National Provider Identifier
1235328451
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11329 Issued in GA
Practice address
1908 Bellevue Rd
Dublin, GA 31021-2955
Phone
(478) 272-1933
Fax
(478) 275-7973
NPI assigned
Oct 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2007

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 11329 GA Primary

Addresses

Primary practice location

1908 Bellevue Rd
Dublin, GA 31021-2955

Mailing address

1908 Bellevue Rd
Dublin, GA 31021-2955
Phone (478) 272-1933

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

Practice roles

OrganizationSpecialtyStatusNew patients
Middle Georgia Family Dentistry General Practice Past Accepting new patients

Organizations & group practices 1

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": "1193184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193184000000",
    "number": "1235328451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 BELLEVUE RD",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212955",
            "telephone_number": "478-272-1933",
            "fax_number": "478-275-7973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 BELLEVUE RD",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212955",
            "telephone_number": "478-272-1933",
            "fax_number": "478-275-7973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTLE",
        "first_name": "JOHN",
        "middle_name": "LAWRENCE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-24",
        "last_updated": "2007-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "11329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.