Active NPI
Dale Michael White, DDS
- Personal Care Attendant
- Athens, OH
National Provider Identifier
1528029733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Practice address
- Family Healthcare, Inc.
62 Charles Street
Athens, OH 45701 - Phone
- (740) 447-8734
- Fax
- (740) 775-7855
- NPI assigned
- Mar 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 30013389 | OH | |
| Personal Care Attendant | 3747P1801X | Primary |
Addresses
Primary practice location
Family Healthcare, Inc.
62 Charles Street
Athens, OH 45701
Mailing address
Family Healthcare, Inc.
62 Charles Street
Athens, OH 45701
Phone (740) 447-8734
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0501871 | Medicaid | OH | |
| 0203452 | Medicaid | OH |
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 |
|---|---|---|---|
| 30013389 | OH | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602028800000",
"number": "1528029733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "FAMILY HEALTHCARE, INC.",
"address_2": "62 CHARLES STREET",
"city": "ATHENS",
"state": "OH",
"postal_code": "45701",
"telephone_number": "740-447-8734",
"fax_number": "740-775-7855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "FAMILY HEALTHCARE, INC.",
"address_2": "62 CHARLES STREET",
"city": "ATHENS",
"state": "OH",
"postal_code": "45701",
"telephone_number": "740-447-8734",
"fax_number": "740-775-7855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "DALE",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-29",
"last_updated": "2020-10-07",
"certification_date": "2020-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "30013389",
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0501871",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0203452",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Athens, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.