John Edward White, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019-14438 Issued in IL

Practice address

130 S Rapp Ave
Columbia, IL 62236-2352

Phone

(618) 281-7300

Fax

(618) 281-8872

NPI assigned

Aug 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• John E. White, DDS & Stephen J. Raney, DMD a Professional Corp.

  • General Practice Dentistry
  • Columbia, IL
  • NPI 1881895738
  NPD (past)
• Nathan D. Williamson, D.M.D. LLC

  • General Practice Dentistry
  • Columbia, IL
  • NPI 1770010100
  NPD (past)

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386751675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 S RAPP AVE",
            "city": "COLUMBIA",
            "state": "IL",
            "postal_code": "622362352",
            "telephone_number": "618-281-7300",
            "fax_number": "618-281-8872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S RAPP AVE",
            "city": "COLUMBIA",
            "state": "IL",
            "postal_code": "622362352",
            "telephone_number": "618-281-7300",
            "fax_number": "618-281-8872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JOHN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-14438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "019-14438",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vasquez Pharmacy Inc
• Amanda Vasquez
• Walgreen Co
• Walgreen Co.
• Laurie Booth Watkins, LCPC, LPC
• Jan Marie Whitman, MA,CCC,SLP
• Jennifer Harlin Wilhelm, DVM
• Brady Ronald Williams, DC
• Haley Williams
• Julie Williams

• General Practice Dentistry in Columbia, IL
• Providers in Columbia, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.