Active NPI
Glennetta B White, D.D.S.
- Dentist
- Norfolk, VA
National Provider Identifier
1649292483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401411319
- Practice address
- 5900 E Virginia Beach Blvd
Suite 70
Norfolk, VA 02126-2503 - Phone
- (757) 466-3622
- NPI assigned
- Jul 24, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 0401411319 | VA | Primary |
Addresses
Primary practice location
5900 E Virginia Beach Blvd
Suite 70
Norfolk, VA 02126-2503
Mailing address
5900 E Virginia Beach Blvd
Suite 70
Norfolk, VA 02126-2503
Phone (757) 466-3622
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 |
|---|---|---|---|
| 0401411319 | VA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tremont Road Dental, PC | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649292483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5900 E VIRGINIA BEACH BLVD",
"address_2": "SUITE 70",
"city": "NORFOLK",
"state": "VA",
"postal_code": "021262503",
"telephone_number": "757-466-3622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5900 E VIRGINIA BEACH BLVD",
"address_2": "SUITE 70",
"city": "NORFOLK",
"state": "VA",
"postal_code": "021262503",
"telephone_number": "757-466-3622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "GLENNETTA",
"middle_name": "B",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401411319",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norfolk, VA
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.