NPIMap

Organization Active NPI

Daniel Whittaker R DMD, Inc.

Doing business as Whittaker Family Dental

  • Dentist
  • Bryan, OH
National Provider Identifier
1629484118
Registry record updated Jul 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DANIEL WHITTAKER R DMD, INC.
Doing business as
Whittaker Family Dental
Practice address
201 Van Gundy Dr
BLDG. a
Bryan, OH 43506-1179
Phone
(419) 636-4202
Fax
(419) 636-6976
NPI assigned
Jul 7, 2014
Last updated
Jul 8, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2014

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

Authorized official

Name
Char J Rose
Title
Insurance Coordinator
Phone
(419) 636-4202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

201 Van Gundy Dr
BLDG. a
Bryan, OH 43506-1179

Mailing address

201 Van Gundy Dr
BLDG. a
Bryan, OH 43506-1179
Phone (419) 636-4202

Other names 1

  • Whittaker Family Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404777600000",
    "number": "1629484118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 VAN GUNDY DR",
            "address_2": "BLDG. A",
            "city": "BRYAN",
            "state": "OH",
            "postal_code": "435061179",
            "telephone_number": "419-636-4202",
            "fax_number": "419-636-6976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 VAN GUNDY DR",
            "address_2": "BLDG. A",
            "city": "BRYAN",
            "state": "OH",
            "postal_code": "435061179",
            "telephone_number": "419-636-4202",
            "fax_number": "419-636-6976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL WHITTAKER R DMD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-07",
        "last_updated": "2014-07-08",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "CHAR",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "419-636-4202"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whittaker Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bryan, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; 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.