Douglas W White, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11647 Issued in MI

Practice address

1535 N Leroy St
Ste F
Fenton, MI 48430-2791

Phone

(810) 629-5454

Fax

(810) 629-8932

NPI assigned

Dec 20, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• DCM Dentistry, PLC

  • General Practice Dentistry
  • Fenton, MI
  • NPI 1003416140
  NPD (past)
• Fda PC

  • Dentist
  • Fenton, MI
  • NPI 1295805026
  NPD (past)

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365638400000",
    "number": "1508920919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 N LEROY ST",
            "address_2": "STE F",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484302791",
            "telephone_number": "810-629-5454",
            "fax_number": "810-629-8932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 N LEROY ST",
            "address_2": "STE F",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484302791",
            "telephone_number": "810-629-5454",
            "fax_number": "810-629-8932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "DOUGLAS",
        "middle_name": "W",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2013-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "11647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Jacob Weiss, DC
• Nicholas Weiss, LMSW
• Wellbridge of Fenton, LLC
• Levaughn Westbrook, LMSW
• Allison Elizabeth Westhoff, DPT
• Samantha Marie White, DOULA
• Angela Louise Whitener, PTA
• Rebekah Whiting, DPT
• Marie Whitt
• Nicole Wildeman

• General Practice Dentistry in Fenton, MI
• Providers in Fenton, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; 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.

Verify at the official NPI Registry.