Active NPI
Aisha Dalila White, M.D.
- Plastic and Reconstructive Surgery Physician
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- N4200
- Practice address
- 6611 River Place Blvd Ste 201
Austin, TX 78730-1167 - Phone
- (512) 324-8320
- Fax
- (512) 324-8323
- NPI assigned
- Sep 4, 2008
- Last updated
- Jul 25, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | N4200 | TX | |
| Plastic Surgery Physician | 208200000X | N4200 | TX | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | N4200 | TX | Primary |
Addresses
Primary practice location
6611 River Place Blvd Ste 201
Austin, TX 78730-1167
Mailing address
6611 River Place Blvd Ste 201
Austin, TX 78730-1167
Phone (512) 777-2969
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 721089 | Other | IL | AETNA |
| 036116290 | Medicaid | IL | |
| 3932056 | Other | IL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N4200 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daniel J Ladd DO PA | Current | Accepting new patients | |
| Daniel J Ladd Jr DO PA Dba Austin Center for Skin Health and Rejuvenat | Current | Accepting new patients | |
| Pinnacle Dermatology, SC | Plastic Surgery | Current | Accepting new patients |
| Chappell Rosso Dermatology PA | Past | Accepting new patients |
Locations
3500 Jefferson St
Ste 200
Austin, TX 78731
Phone (512) 643-4384
6611 River Place Blvd
Ste 201
Austin, TX 78730
Phone (512) 467-7770
3101 Highway 71 E
Ste 203
Bastrop, TX 78602
Phone (512) 643-4384
701 E Whitestone Blvd
Ste 150
Cedar Park, TX 78613
Phone (512) 260-5860
1400 E Cemetery Rd
Hallettsville, TX 77964
Phone (512) 643-4384
2 Saint Marks Pl
Ste 140
La Grange, TX 78945
Phone (512) 643-4384
4040 Medical Park Dr
Odessa, TX 79765
Phone (432) 217-0344
4112 Links Ln
Ste 205
Round Rock, TX 78664
Phone (512) 379-6090
160 Creekside Park Rd
Ste 300
Spring Branch, TX 78070
Phone (512) 643-4384
184 Creekside Park Rd
Ste 100
Spring Branch, TX 78070
Interoperability endpoints
- awhite24@yourcarecommunity.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dermatology Physician
- Bastrop, TX
- NPI 1831334291
-
- Procedural Dermatology Physician
- Odessa, TX
- NPI 1962625533
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564012800000",
"number": "1255589180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6611 RIVER PLACE BLVD STE 201",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787301167",
"telephone_number": "512-777-2969",
"fax_number": "512-777-0861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6611 RIVER PLACE BLVD STE 201",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787301167",
"telephone_number": "512-324-8320",
"fax_number": "512-324-8323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "AISHA",
"middle_name": "DALILA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-04",
"last_updated": "2019-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "N4200",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "TX",
"license": "N4200",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "TX",
"license": "N4200",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "721089",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036116290",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "3932056",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.