Cecilia Amarantha White, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02726100 Issued in NJ

Practice address

601 Ewing St Ste B16
Princeton, NJ 08540-2755

Phone

(609) 921-0034

NPI assigned

Jul 24, 2019

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Monmouth County Periodontics LLC

  • Periodontics
  • Manalapan, NJ
  • NPI 1346995834
  NPD (past)

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1528611944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 EWING ST STE B16",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085402755",
            "telephone_number": "609-921-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 EWING ST STE B16",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085402755",
            "telephone_number": "609-921-0034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "193 US Highway 9 Ste 2C",
            "address_purpose": "LOCATION",
            "city": "Englishtown",
            "state": "NJ",
            "postal_code": "077263016",
            "country_code": "US",
            "telephone_number": "732-409-2900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "CECILIA",
        "middle_name": "AMARANTHA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-24",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02726100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Well BL Opco LLC
• Well BL Opco LLC
• Wellbl Portfolio 1 Opco LLC
• Lara F Wellerstein, LSW
• White Coat Providers LLC
• Laura Wieber, ARNP
• Constance Wieler, SLP
• Frederick Charles Wightman III, D.D.S.
• Laura M Wild, CRNA
• Sierra Ellen Wilhelm

• General Practice Dentistry in Princeton, NJ
• Providers in Princeton, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; 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.