Individual provider Active NPI

Robert Allen Whitmore, D.D.S.

  • General Practice Dentistry
  • Arlington, TX
National Provider Identifier
1619988862
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14269TX Issued in TX
Practice address
5975 S Cooper St
Suite #125
Arlington, TX 76017-4478
Phone
(817) 468-1212
Fax
(817) 557-1212
NPI assigned
Aug 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 14269TX TX Primary

Addresses

Primary practice location

5975 S Cooper St
Suite #125
Arlington, TX 76017-4478

Mailing address

5975 S Cooper St
Suite #125
Arlington, TX 76017-4478
Phone (817) 557-1251

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

LicenseStateTypeSpecialty
14269TXTXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619988862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5975 S COOPER ST",
            "address_2": "SUITE #125",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760174478",
            "telephone_number": "817-557-1251",
            "fax_number": "817-557-1251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5975 S COOPER ST",
            "address_2": "SUITE #125",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760174478",
            "telephone_number": "817-468-1212",
            "fax_number": "817-557-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITMORE",
        "first_name": "ROBERT",
        "middle_name": "ALLEN",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "14269TX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.