Kenneth Samuel White, M.D.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

28378 Issued in NC

Practice address

1404 Commonwealth Dr
Wilmington, NC 28403-1473

Phone

(910) 343-0119

Fax

(910) 343-8983

NPI assigned

Aug 10, 2005

Last updated

Jan 18, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Kenneth White Professional name

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kwhite01@crhn.cernerdirect.com
• Direct secure messaging: kwhite1253152@direct.novanthealth.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wilmington Plastic Surgery Specialists, P.a.

  • Plastic and Reconstructive Surgery Physician
  • Wilmington, NC
  • NPI 1235195389
  Medicare reassignment NPD

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295308800000",
    "number": "1609877836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 COMMONWEALTH DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284031473",
            "telephone_number": "910-343-0119",
            "fax_number": "910-343-8983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 COMMONWEALTH DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284031473",
            "telephone_number": "910-343-0119",
            "fax_number": "910-343-8983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "KENNETH",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2011-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NC",
            "license": "28378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENNETH",
            "last_name": "WHITE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Eleanor Virginia White, CPP
• Halley R White, DDS MPH
• James Lankford White, DDS
• John Finley White Jr., DDS
• Kathleen Mary White, D.C.
• Madeline Rae White, MA
• Michael Erskine White, MD
• Paul White, CRNA
• Shawna Leigh White, FNP
• Theresa Angell White, RN

• Plastic and Reconstructive Surgery Physician in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Plastic and Reconstructive Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.