NPIMap

Organization Active NPI

George M. Whitehead D.D.S., PS

  • General Practice Dentistry
  • Aberdeen, WA
National Provider Identifier
1295032969
Registry record updated Feb 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5204 Issued in WA
Legal business name
GEORGE M. WHITEHEAD D.D.S., PS
Practice address
222 East First Street
Suite B
Aberdeen, WA 98520
Phone
(360) 533-2726
Fax
(360) 532-9915
NPI assigned
Feb 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2011

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

Authorized official

Name
Chong Whitehead
Title
Officer
Phone
(360) 533-2726

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5204 WA Primary

Addresses

Primary practice location

222 East First Street
Suite B
Aberdeen, WA 98520

Mailing address

222 East First Street
Suite B
Aberdeen, WA 98520
Phone (360) 533-2726

National Provider Directory

National Provider Directory

Locations

222 E 1st St
#B
Aberdeen, WA 98520
Phone (360) 533-2726

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": "1297814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297814400000",
    "number": "1295032969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 EAST FIRST STREET",
            "address_2": "SUITE B",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "98520",
            "telephone_number": "360-533-2726",
            "fax_number": "360-532-9915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 EAST FIRST STREET",
            "address_2": "SUITE B",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "98520",
            "telephone_number": "360-533-2726",
            "fax_number": "360-532-9915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE M. WHITEHEAD D.D.S., PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-16",
        "last_updated": "2011-02-16",
        "status": "A",
        "authorized_official_last_name": "WHITEHEAD",
        "authorized_official_first_name": "CHONG",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "360-533-2726"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "5204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2011; 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.