Active NPI
William R Whitlow, D.D.S.
- Oral and Maxillofacial Surgery (Dentist)
- Hutchinson, KS
National Provider Identifier
1316968035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 6423
- Practice address
- 2301 N Waldron St
Hutchinson, KS 67502-1133 - Phone
- (620) 663-1141
- Fax
- (620) 663-1373
- NPI assigned
- Jul 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 6423 | KS | Primary |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 6423 | KS |
Addresses
Primary practice location
2301 N Waldron St
Hutchinson, KS 67502-1133
Mailing address
2301 N Waldron St
Hutchinson, KS 67502-1133
Phone (620) 663-1141
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022955 | Other | KS | BCBS HUTCHINSON OFFICE |
| 022839 | Other | KS | BCBS WICHITA OFFICE |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1316968035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 N WALDRON ST",
"city": "HUTCHINSON",
"state": "KS",
"postal_code": "675021133",
"telephone_number": "620-663-1141",
"fax_number": "620-663-1373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 N WALDRON ST",
"city": "HUTCHINSON",
"state": "KS",
"postal_code": "675021133",
"telephone_number": "620-663-1141",
"fax_number": "620-663-1373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITLOW",
"first_name": "WILLIAM",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "KS",
"license": "6423",
"primary": true
},
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "KS",
"license": "6423",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS HUTCHINSON OFFICE",
"identifier": "022955",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS WICHITA OFFICE",
"identifier": "022839",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hutchinson, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.