Individual provider Active NPI

Karsyn Whitman, MS, DMD

  • Dentist
  • Statesville, NC
National Provider Identifier
1265140396
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
13437 Issued in NC
Practice address
964 Glenway Dr Ste a
Statesville, NC 28625-9204
Phone
(704) 252-5793
NPI assigned
Nov 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dentist 122300000X 13437 NC Primary

Addresses

Primary practice location

964 Glenway Dr Ste a
Statesville, NC 28625-9204

Mailing address

22415 Market St Apt 1227
Cornelius, NC 28031-3032
Phone (678) 571-1191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Youngchi Chang DDS PLLC CurrentSince Nov 13, 2022 Accepting new patients
Orbie E Ottey Jr DDS Professional Corporation CurrentSince Nov 13, 2022 Accepting new patients

Locations

964 Glenway Dr
#A
Statesville, NC 28625
Phone (704) 252-5793

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1667865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1265140396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22415 MARKET ST APT 1227",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280313032",
            "telephone_number": "678-571-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "964 GLENWAY DR STE A",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286259204",
            "telephone_number": "704-252-5793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITMAN",
        "first_name": "KARSYN",
        "name_prefix": "Dr.",
        "credential": "MS, DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-08",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "13437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; 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.