Active NPI
Robert R Whitaker, M.D.
- Ophthalmology Physician
- Irving, TX
National Provider Identifier
1366516585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- E2935
- Practice address
- 2001 N Macarthur Blvd
Ste 425
Irving, TX 75061-2256 - Phone
- (972) 253-2520
- Fax
- (972) 254-0952
- NPI assigned
- Nov 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | E2935 | TX | Primary |
Addresses
Primary practice location
2001 N Macarthur Blvd
Ste 425
Irving, TX 75061-2256
Mailing address
2021 N Macarthur Blvd
Ste 150
Irving, TX 75061-2219
Phone (972) 253-2520
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100621501 | Medicaid | TX |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E2935 | TX | MD | Ophthalmology Physician |
Interoperability endpoints
- rwhitaker@direct.uspi.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434931200000",
"number": "1366516585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2021 N MACARTHUR BLVD",
"address_2": "STE 150",
"city": "IRVING",
"state": "TX",
"postal_code": "750612219",
"telephone_number": "972-253-2520",
"fax_number": "972-254-0952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 N MACARTHUR BLVD",
"address_2": "STE 425",
"city": "IRVING",
"state": "TX",
"postal_code": "750612256",
"telephone_number": "972-253-2520",
"fax_number": "972-254-0952"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITAKER",
"first_name": "ROBERT",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-20",
"last_updated": "2015-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "TX",
"license": "E2935",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100621501",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Irving, TX
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.