Andrew Michael Whitaker, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21777 Issued in OH

Practice address

501 Darby Creek Rd Ste 68
Lexington, KY 40509-2611

Phone

(859) 263-0550

Fax

(740) 454-8413

NPI assigned

Dec 28, 2006

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

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": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212624000000",
    "number": "1477619047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 DARBY CREEK RD STE 68",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092611",
            "telephone_number": "859-263-0550",
            "fax_number": "740-454-8413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 DARBY CREEK RD STE 68",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092611",
            "telephone_number": "859-263-0550",
            "fax_number": "740-454-8413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITAKER",
        "first_name": "ANDREW",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2008-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "21777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Wheelock, MD
• Sarah Whelchel
• Sharayah Jung Whelchel, PT, DPT, CLT
• Andrew James Whipkey
• Salli E Whisman, M.D.
• Ashley Marie Whitaker, M.S. CCC-SLP
• Bevery Ratliff Whitaker, PH.D.
• Carly Cooper Whitaker, CRNA
• Cathy Suzette Whitaker, P.T
• Marla J. Whitaker, PHARMD

• General Practice Dentistry in Lexington, KY
• Providers in Lexington, KY by specialty
• General Practice Dentistry in Kentucky

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