Active NPI
An White, DDS, PLLC
- General Practice Dentistry
- Stafford, TX
National Provider Identifier
1265031793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- AN WHITE, DDS, PLLC
- Doing business as
- Dental Domain
- Practice address
- 3607 S Main St # 107
Stafford, TX 77477-5406 - Phone
- (832) 930-7847
- Fax
- (281) 969-8032
- NPI assigned
- Oct 26, 2020
- 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
- An White, DDS
- Title
- Ceo
- Phone
- (832) 930-7847
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 | Primary |
Addresses
Primary practice location
3607 S Main St # 107
Stafford, TX 77477-5406
Mailing address
3607 S Main St # 107
Stafford, TX 77477-5406
Phone (832) 930-7847
Other names 1
- Dental Domain
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hello@thedentaldomain.com |
National Provider Directory
National Provider DirectoryLocations
3607 S Main St
#107
Stafford, TX 77477
Phone (832) 930-7847
Practitioners & affiliated clinicians
Practitioners 1
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": "1603670400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1603670400000",
"number": "1265031793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3607 S MAIN ST # 107",
"city": "STAFFORD",
"state": "TX",
"postal_code": "774775406",
"telephone_number": "832-930-7847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3607 S MAIN ST # 107",
"city": "STAFFORD",
"state": "TX",
"postal_code": "774775406",
"telephone_number": "832-930-7847",
"fax_number": "281-969-8032"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AN WHITE, DDS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-26",
"last_updated": "2020-10-26",
"certification_date": "2020-10-26",
"status": "A",
"authorized_official_last_name": "WHITE",
"authorized_official_first_name": "AN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "832-930-7847",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hello@thedentaldomain.com",
"affiliation": "N",
"address_1": "3607 S Main St # 107",
"city": "Stafford",
"state": "TX",
"country_code": "US",
"postal_code": "774775406",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Dental Domain",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Stafford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.