Active NPI
Dr. C.R. White and Associates Dental Center,Inc.
- General Practice Dentistry
- Mason, TN
National Provider Identifier
1235448598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5088
- Legal business name
- DR. C.R. WHITE AND ASSOCIATES DENTAL CENTER,INC.
- Practice address
- 12173 Main St Ste B
Mason, TN 38049-7054 - Phone
- (901) 294-2634
- Fax
- (901) 294-2639
- NPI assigned
- Oct 4, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Clarice R White, DDS
- Title
- Owner/President
- Phone
- (901) 294-2634
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5088 | TN | Primary |
Addresses
Primary practice location
12173 Main St Ste B
Mason, TN 38049-7054
Mailing address
PO Box 310
Stanton, TN 38069-0310
Phone (901) 294-2634
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3225536 | Medicaid | TN |
Other names 1
- Dr. Clarice R. White
National Provider Directory
National Provider Directory- Tax ID family
- Dr C R White and Associates Dental Centerinc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dentist
- Stanton, TN
- NPI 1588992663
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Mason, TN
- NPI 1891776845
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1286150400000",
"number": "1235448598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 310",
"city": "STANTON",
"state": "TN",
"postal_code": "380690310",
"telephone_number": "901-294-2634",
"fax_number": "901-294-2639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12173 MAIN ST STE B",
"city": "MASON",
"state": "TN",
"postal_code": "380497054",
"telephone_number": "901-294-2634",
"fax_number": "901-294-2639"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. C.R. WHITE AND ASSOCIATES DENTAL CENTER,INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-04",
"last_updated": "2010-10-04",
"status": "A",
"authorized_official_last_name": "WHITE",
"authorized_official_first_name": "CLARICE",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "901-294-2634",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "TN",
"license": "5088",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3225536",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Dr. Clarice R. White",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Mason, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.