Organization Active NPI

Larry W White Orthodontics LTD

  • Dentist
  • Desoto, TX
National Provider Identifier
1548336282
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6768TEXAS
Legal business name
LARRY W WHITE ORTHODONTICS LTD
Practice address
701 N Hampton Rd
Desoto, TX 75115-4509
Phone
(972) 230-0155
Fax
(972) 230-0742
NPI assigned
Nov 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Larry W White
Title
Dr
Phone
(972) 230-0155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 6768TEXAS Primary

Addresses

Primary practice location

701 N Hampton Rd
Desoto, TX 75115-4509

Mailing address

701 N Hampton Rd
De Soto, TX 75115
Phone (972) 230-0155

Other identifiers 1

IdentifierTypeStateIssuer
007835402MedicaidTX

National Provider Directory

National Provider Directory

Locations

701 N Hampton Rd
Desoto, TX 75115
Phone (972) 230-0155

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1548336282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N HAMPTON RD",
            "city": "DE SOTO",
            "state": "TX",
            "postal_code": "75115",
            "telephone_number": "972-230-0155",
            "fax_number": "972-230-0742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N HAMPTON RD",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751154509",
            "telephone_number": "972-230-0155",
            "fax_number": "972-230-0742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY W WHITE ORTHODONTICS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "972-230-0155",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": "6768TEXAS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007835402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.