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

Last updated

Apr 11, 2013By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• DCM Dentistry, PLC

  dba Fenton Dental

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

  dba Fenton Dental Associates

  • 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.