Individual provider Active NPI

Alex Whitesell, D.D.S.

  • Dentist
  • Dakota Dunes, SD
National Provider Identifier
1306228705
Registry record updated Jun 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D1089 Issued in SD
Practice address
383 W Steamboat Dr
Unit 101
Dakota Dunes, SD 57049-5389
Phone
(605) 232-5898
NPI assigned
Jun 22, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D1089 SD Primary

Addresses

Primary practice location

383 W Steamboat Dr
Unit 101
Dakota Dunes, SD 57049-5389

Mailing address

383 W Steamboat Dr
Unit 101
Dakota Dunes, SD 57049-5389
Phone (605) 232-5898

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D1089SDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Embrace Dentistry Dakota Dunes LLC PastSince Jan 26, 2020 Accepting new patients
Holland Dental Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434931200000",
    "number": "1306228705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "383 W STEAMBOAT DR",
            "address_2": "UNIT 101",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495389",
            "telephone_number": "605-232-5898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "383 W STEAMBOAT DR",
            "address_2": "UNIT 101",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495389",
            "telephone_number": "605-232-5898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITESELL",
        "first_name": "ALEX",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-22",
        "last_updated": "2015-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SD",
            "license": "D1089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dakota Dunes, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; 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.