Organization Active NPI

Stephanie R White DMD LLC

  • General Practice Dentistry
  • Gearhart, OR
National Provider Identifier
1407448947
Registry record updated Feb 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
STEPHANIE R WHITE DMD LLC
Practice address
3965 Highway 101 N
Gearhart, OR 97138-4327
Phone
(503) 738-9273
Fax
(503) 717-9323
NPI assigned
Feb 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2021

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

Authorized official

Name
Dr. Stephanie R White, DMDNPI 1588763031
Title
Owner/Dentist
Phone
(503) 738-9273

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3965 Highway 101 N
Gearhart, OR 97138-4327

Mailing address

3965 Highway 101 N
Gearhart, OR 97138-4327
Phone (503) 738-9273

Other names 1

  • Gearhart Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

3965 Highway 101 N
Gearhart, OR 97138
Phone (503) 738-9273

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1612483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612483200000",
    "number": "1407448947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3965 HIGHWAY 101 N",
            "city": "GEARHART",
            "state": "OR",
            "postal_code": "971384327",
            "telephone_number": "503-738-9273",
            "fax_number": "503-717-9323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3965 HIGHWAY 101 N",
            "city": "GEARHART",
            "state": "OR",
            "postal_code": "971384327",
            "telephone_number": "503-738-9273",
            "fax_number": "503-717-9323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE R WHITE DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-05",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "503-738-9273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gearhart Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gearhart, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; 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.