Richard Dennis Whitaker, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

34015 Issued in CA

Practice address

2825 Easy St
Placerville, CA 95667-3906

Phone

(530) 626-4677

Fax

(530) 626-3622

NPI assigned

Feb 28, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396872917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 EASY STREET",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "95667",
            "telephone_number": "530-626-4677",
            "fax_number": "530-626-3622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 EASY ST",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956673906",
            "telephone_number": "530-626-4677",
            "fax_number": "530-626-3622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITAKER",
        "first_name": "RICHARD",
        "middle_name": "DENNIS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "34015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B34015-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Forrest R. Wendell, DDS
• Colleen Wentz, FNP
• West Slope Recovery
• Western Sierra Orthopaedic Center Inc
• Terry Charles Weyl, PH.D.
• Terry Lee White, LCSW
• William Harrison White, PT
• Sarah Whitley, MSW LCSW
• Tiffany Ann Whitmore, BSW
• Caroline Wigan, MD

• General Practice Dentistry in Placerville, CA
• Providers in Placerville, CA by specialty
• General Practice Dentistry in California

• 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.