Organization Active NPI

Halley White,DDS, PA

  • Pediatric Dentistry
  • Wilmington, NC
National Provider Identifier
1427490234
Registry record updated Jul 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
7667 Issued in NC
Legal business name
HALLEY WHITE,DDS, PA
Practice address
8115 Market St
Ste 204
Wilmington, NC 28411-8427
Phone
(910) 686-1869
NPI assigned
Jul 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2013

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

Authorized official

Name
Halley R White, DDS,PA
Title
Dentist
Phone
(910) 686-1869

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X 7667 NC Primary
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X 7276 MS

Addresses

Primary practice location

8115 Market St
Ste 204
Wilmington, NC 28411-8427

Mailing address

8115 Market St
Ste 204
Wilmington, NC 28411-8427
Phone (910) 686-1869

Other identifiers 2

IdentifierTypeStateIssuer
5920762MedicaidNC
5904426MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Halley White DDS PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374451200000",
    "number": "1427490234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8115 MARKET ST",
            "address_2": "STE 204",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284118427",
            "telephone_number": "910-686-1869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8115 MARKET ST",
            "address_2": "STE 204",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284118427",
            "telephone_number": "910-686-1869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALLEY WHITE,DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-22",
        "last_updated": "2013-07-22",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "HALLEY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "910-686-1869",
        "authorized_official_credential": "DDS,PA"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "7667",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MS",
            "license": "7276",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5920762",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5904426",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; 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.