NPIMap

Organization Active NPI

Richard J White DDS LLC

Doing business as Olson & White Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Florissant, MO
National Provider Identifier
1265537443
Registry record updated Dec 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
2001013486 Issued in MO
Legal business name
RICHARD J WHITE DDS LLC
Doing business as
Olson & White Orthodontics
Practice address
1265 Graham Road
Suite C
Florissant, MO 63031
Phone
(314) 838-8762
Fax
(314) 838-8802
NPI assigned
Sep 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2010

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

Authorized official

Name
Dr. Richard J White, DDSNPI 1285708370
Title
Owner
Phone
(636) 978-9585

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)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 2001013486 MO Primary

Addresses

Primary practice location

1265 Graham Road
Suite C
Florissant, MO 63031

Mailing address

103 O'Fallon Commons Dr
O'Fallon, MO 63368
Phone (636) 978-9585

Other names 1

  • Olson & White Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

1265 Graham Rd
Ste C
Florissant, MO 63031
Phone (314) 838-8762

103 Ofallon Commons Dr
O Fallon, MO 63368
Phone (636) 978-9585

Practitioners & affiliated clinicians

Practitioners 3

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": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1265537443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 O'FALLON COMMONS DR",
            "city": "O'FALLON",
            "state": "MO",
            "postal_code": "63368",
            "telephone_number": "636-978-9585",
            "fax_number": "636-978-9720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 GRAHAM ROAD",
            "address_2": "SUITE C",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "63031",
            "telephone_number": "314-838-8762",
            "fax_number": "314-838-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD J WHITE DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-978-9585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MO",
            "license": "2001013486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olson & White Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Florissant, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; 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.