NPIMap

Organization Active NPI

Michael S. White

  • Dentist
  • Colorado City, TX
National Provider Identifier
1265695787
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19451 Issued in TX
Legal business name
MICHAEL S. WHITE
Practice address
446 Walnut St
Colorado City, TX 79512-6222
Phone
(325) 728-3151
NPI assigned
Jul 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

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

Authorized official

Name
Tabbatha S White
Title
RDH
Phone
(325) 728-3151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 19451 TX Primary

Addresses

Primary practice location

446 Walnut St
Colorado City, TX 79512-6222

Mailing address

446 Walnut St
Colorado City, TX 79512-6222
Phone (325) 728-3151

Other identifiers 1

IdentifierTypeStateIssuer
009572102MedicaidTX

National Provider Directory

National Provider Directory

Locations

446 Walnut St
Colorado City, TX 79512
Phone (325) 728-3151

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": "1215043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1265695787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 WALNUT ST",
            "city": "COLORADO CITY",
            "state": "TX",
            "postal_code": "795126222",
            "telephone_number": "325-728-3151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 WALNUT ST",
            "city": "COLORADO CITY",
            "state": "TX",
            "postal_code": "795126222",
            "telephone_number": "325-728-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL S. WHITE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-03",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "TABBATHA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "RDH",
        "authorized_official_telephone_number": "325-728-3151"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "19451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009572102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.