Organization Active NPI

Danny L Whiting DDS PC

  • Dentist
  • Sioux City, IA
National Provider Identifier
1376615609
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5870 Issued in IA
Legal business name
DANNY L WHITING DDS PC
Practice address
2910 Hamilton Blvd
Ste. 102
Sioux City, IA 51104-2423
Phone
(712) 258-5057
Fax
(712) 258-7963
NPI assigned
Nov 14, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Danny Lavern Whiting, D.D.S.NPI 1831101104
Title
President Owner
Phone
(712) 258-5057

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5870 IA Primary

Addresses

Primary practice location

2910 Hamilton Blvd
Ste. 102
Sioux City, IA 51104-2423

Mailing address

2910 Hamilton Blvd
Ste. 102
Sioux City, IA 51104-2423
Phone (712) 258-5057

Other identifiers 1

IdentifierTypeStateIssuer
01119156MedicaidIA

National Provider Directory

National Provider Directory

Locations

2910 Hamilton Blvd
Ste 102
Sioux City, IA 51104
Phone (712) 258-5057

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376615609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 HAMILTON BLVD",
            "address_2": "STE. 102",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511042423",
            "telephone_number": "712-258-5057",
            "fax_number": "712-258-7963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 HAMILTON BLVD",
            "address_2": "STE. 102",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511042423",
            "telephone_number": "712-258-5057",
            "fax_number": "712-258-7963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANNY L WHITING DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITING",
        "authorized_official_first_name": "DANNY",
        "authorized_official_middle_name": "LAVERN",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "712-258-5057",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IA",
            "license": "5870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01119156",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.