Active NPI
Avelyn Corretta White, DDS
- Dentist
- Detroit, MI
National Provider Identifier
1487731345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 1834446
- Practice address
- 11532 Morang Dr
Detroit, MI 48224 - Phone
- (313) 371-4510
- Fax
- (313) 371-2333
- NPI assigned
- Oct 31, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 1834446 | MI | Primary |
Addresses
Primary practice location
11532 Morang Dr
Detroit, MI 48224
Mailing address
3400 Erskine St
#803
Windsor, ON N8Y4T5
CA
Phone (519) 816-1534
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1834446 | MI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487731345",
"addresses": [
{
"country_code": "CA",
"country_name": "Canada",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "3400 ERSKINE ST",
"address_2": "#803",
"city": "WINDSOR",
"state": "ON",
"postal_code": "N8Y4T5",
"telephone_number": "519-816-1534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11532 MORANG DR",
"city": "DETROIT",
"state": "MI",
"postal_code": "48224",
"telephone_number": "313-371-4510",
"fax_number": "313-371-2333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "AVELYN",
"middle_name": "CORRETTA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "1834446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.