Active NPI
Victoria Dorrough, DDS
- General Practice Dentistry
- White Plains, NY
National Provider Identifier
1588284640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 062039
- Practice address
- 600 N Broadway
White Plains, NY 10603-2466 - Phone
- (914) 948-3424
- NPI assigned
- Apr 19, 2020
- Last updated
- Sep 22, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 062039 | NY | Primary |
Addresses
Primary practice location
600 N Broadway
White Plains, NY 10603-2466
Mailing address
600 N Broadway
White Plains, NY 10603-2466
Other practice location 1
4422 3rd Ave
Bronx, NY 10457-2594
Phone (718) 960-6628
Other names 1
- Victoria White
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 |
|---|---|---|---|
| 062039 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663804800000",
"number": "1588284640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 N BROADWAY",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106032466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N BROADWAY",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106032466",
"telephone_number": "914-948-3424"
}
],
"practiceLocations": [
{
"address_1": "4422 3rd Ave",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104572594",
"country_code": "US",
"telephone_number": "718-960-6628",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DORROUGH",
"first_name": "VICTORIA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-19",
"last_updated": "2022-09-22",
"certification_date": "2022-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "062039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "VICTORIA",
"last_name": "WHITE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in White Plains, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.