Benetta F Whitfield, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN012000 Issued in GA

Practice address

8500 W Markham St Ste 331
Little Rock, AR 72205-2408

Phone

(501) 224-3131

NPI assigned

Oct 23, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Cesar Cruz, DDS P.a.

  dba Universal Dental Center

  • Dentist
  • Little Rock, AR
  • NPI 1598920944
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248825600000",
    "number": "1285717090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 W MARKHAM ST STE 331",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722052408",
            "telephone_number": "501-224-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 W MARKHAM ST STE 331",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722052408",
            "telephone_number": "501-224-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITFIELD",
        "first_name": "BENETTA",
        "middle_name": "F",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2009-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN012000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1394541",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000956249A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassandra Whiteside, LMSW
• Devin Elaine Whiteside
• Lela Samantha Whiteside, MS,CFY-SLP
• Anika T Whitfield, DPM
• Ann Michelle Whitfield, LCSW
• Erica Nicole Whitfield, MHPP
• Capricornus Casual Whitley
• Emily Kathryn Whitley
• Lakesha Lashay Whitley
• Mildred R Whitley, PT

• General Practice Dentistry in Little Rock, AR
• Providers in Little Rock, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2009; 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.