Gerald Grenier White, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

#4821 Issued in AL

Practice address

6164 Omni Park Dr
Mobile, AL 36609-5195

Phone

(251) 343-8000

NPI assigned

Feb 5, 2007

Sex

Male

Sole proprietor

Yes

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.

• Gerald G. White, DDS, PC

  • General Practice Dentistry
  • Mobile, AL
  • NPI 1104354232
  NPD (past) Authorized official

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1285773580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6164 OMNI PARK DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366095195",
            "telephone_number": "251-343-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6164 OMNI PARK DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366095195",
            "telephone_number": "251-343-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "GERALD",
        "middle_name": "GRENIER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "#4821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009960150",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA",
            "identifier": "51075993WHI",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bailey Elizabeth White
• Bianca M White, COTA/L
• Caroline White, RBT
• Charles Fox White Jr., M.D.
• Emma Katherine White
• Jason Gabriel White, PA-C
• Katherine Josephine White
• Kathleen M White, DO
• Kevin C. White, DDS
• Laura W White

• General Practice Dentistry in Mobile, AL
• Providers in Mobile, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.