Active NPI
Larry W White Orthodontics LTD
- Dentist
- Desoto, TX
National Provider Identifier
1548336282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007835402 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
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.