Active NPI
David William White, D.D.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Conroe, TX
National Provider Identifier
1427397256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 29461
- Practice address
- 3600 Farm to Market Rd 1488 #90
Conroe, TX 77384 - Phone
- (936) 271-5440
- NPI assigned
- Feb 14, 2013
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 29461 | TX | Primary |
Addresses
Primary practice location
3600 Farm to Market Rd 1488 #90
Conroe, TX 77384
Mailing address
43 Indian Summer PL
Spring, TX 77381-6236
Phone (770) 401-9668
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170719002946 | TX | Order and Referring Only - Dentist | 6406126713 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pdsmiles, PLLC | Orthodontics and Dentofacial Orthopedics | Current | Accepting new patients |
| Woodlands Smiles Dentistry and Orthodontics, PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pediatric Dentistry
- Spring, TX
- NPI 1205321346
Orthodontics and Dentofacial Orthopedics
-
- General Practice Dentistry
- Conroe, TX
- NPI 1154678787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492128000000",
"number": "1427397256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 INDIAN SUMMER PL",
"city": "SPRING",
"state": "TX",
"postal_code": "773816236",
"telephone_number": "770-401-9668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 FARM TO MARKET RD 1488 #90",
"city": "CONROE",
"state": "TX",
"postal_code": "77384",
"telephone_number": "936-271-5440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "DAVID",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-02-14",
"last_updated": "2017-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "TX",
"license": "29461",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.