Jamie R White DMD PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JAMIE R WHITE DMD PC

Doing business as

Phoenix Family Dentistry

Practice address

205 N Phoenix Rd Ste 410
Phoenix, OR 97535-9104

Phone

(541) 535-4142

Fax

(541) 535-3415

NPI assigned

Mar 1, 2021

Last updated

Nov 2, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jamie White, DMDNPI 1437230521

Title

Owner/General Dentist

Phone

(541) 535-4142

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Phoenix Family Dentistry Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jamie Robin White, DMD

  • General Practice Dentistry
  • Phoenix, OR
  • NPI 1437230521
  NPD Authorized official

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

{
    "created_epoch": "1614556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1265027304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 N PHOENIX RD STE 410",
            "city": "PHOENIX",
            "state": "OR",
            "postal_code": "975359104",
            "telephone_number": "541-535-4142",
            "fax_number": "541-535-3415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N PHOENIX RD STE 410",
            "city": "PHOENIX",
            "state": "OR",
            "postal_code": "975359104",
            "telephone_number": "541-535-4142",
            "fax_number": "541-535-3415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMIE R WHITE DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-01",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "OWNER/GENERAL DENTIST",
        "authorized_official_telephone_number": "541-535-4142",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1437230521",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "team@smilesphoenix.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "205 N Phoenix Rd Ste Y",
            "city": "Phoenix",
            "state": "OR",
            "country_code": "US",
            "postal_code": "975359106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Phoenix Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristen Hawkinson
• Grace Carole Herring, LMT
• Emily E Hinman
• Skyla Kenzie Ihne Gazeley
• Holly Ivie
• Paul George Jendre, D.O.
• Ben Douglas Johnson, PA-C
• Katelyn R Jones, MSW, NMT LEVEL I
• Jose Luis Garcia Ma Ms LPC Mental Health Counseling
• Serob Karapetyan, RPH

• General Practice Dentistry in Phoenix, OR
• Providers in Phoenix, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.