Organization Active NPI

Dr. Dianne Whitfield-Locke

  • Pediatric Dentistry
  • Capitol Heights, MD
National Provider Identifier
1245373349
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
4518 Issued in DC
Legal business name
DR. DIANNE WHITFIELD-LOCKE
Practice address
5105 Marlboro Pike
Capitol Heights, MD 20743-5402
Phone
(301) 420-1464
Fax
(301) 420-8338
NPI assigned
Feb 15, 2007
Organization subpart
Yes
Parent organization
DR. DIANNE WHITIFIELD-LOCKEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Authorized official

Name
Dianne Whitifield-Locke
Title
D.D.S.
Phone
(301) 420-1464

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X MD9229 MD
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 4518 DC Primary

Addresses

Primary practice location

5105 Marlboro Pike
Capitol Heights, MD 20743-5402

Mailing address

5105 Marlboro Pike
Capitol Heights, MD 20743-5402
Phone (301) 420-1464

Other identifiers 2

IdentifierTypeStateIssuer
1417063363OtherMDINDIVIDUAL NPI
016747900MedicaidDC

National Provider Directory

National Provider Directory
Part of
Dr Dianne Whitfield-Locke

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1245373349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5105 MARLBORO PIKE",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207435402",
            "telephone_number": "301-420-1464",
            "fax_number": "301-420-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5105 MARLBORO PIKE",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207435402",
            "telephone_number": "301-420-1464",
            "fax_number": "301-420-8338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DIANNE WHITFIELD-LOCKE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DR. DIANNE WHITIFIELD-LOCKE",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "WHITIFIELD-LOCKE",
        "authorized_official_first_name": "DIANNE",
        "authorized_official_title_or_position": "D.D.S.",
        "authorized_official_telephone_number": "301-420-1464"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "MD",
            "license": "MD9229",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "DC",
            "license": "4518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1417063363",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016747900",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Capitol Heights, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.