NPIMap

Organization Active NPI

Joe Bill Whitley,DDS,Inc.

  • General Practice Dentistry
  • San Antonio, TX
National Provider Identifier
1447417043
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JOE BILL WHITLEY,DDS,INC.
Practice address
2206 E Commerce St
San Antonio, TX 78203-1902
Phone
(210) 224-4026
Fax
(210) 224-0075
NPI assigned
May 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Ms. Pamela Whitley-Casto
Title
Director
Phone
(361) 991-7207

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2206 E Commerce St
San Antonio, TX 78203-1902

Mailing address

2206 E Commerce St
San Antonio, TX 78203-1902
Phone (210) 224-4026

Other identifiers 3

IdentifierTypeStateIssuer
1881725059MedicaidTX
1447381710MedicaidTX
1518085026MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
Joe Bill Whitley DDS Inc2 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.

Locations

2206 E Commerce St
San Antonio, TX 78203
Phone (210) 224-4026

Practitioners & affiliated clinicians

Practitioners 2

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": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1447417043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2206 E COMMERCE ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782031902",
            "telephone_number": "210-224-4026",
            "fax_number": "210-224-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2206 E COMMERCE ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782031902",
            "telephone_number": "210-224-4026",
            "fax_number": "210-224-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOE BILL WHITLEY,DDS,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "WHITLEY-CASTO",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "361-991-7207",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881725059",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447381710",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518085026",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.