Cory Beattie White, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

5825 Issued in AL

Practice address

162 Sugar Drive
Pelham, AL 35124

Phone

(205) 475-1489

NPI assigned

May 18, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Cory Ann Beattie Former name

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322438400000",
    "number": "1649599507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 SUGAR DRIVE",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "35124",
            "telephone_number": "205-475-1489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 SUGAR DRIVE",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "35124",
            "telephone_number": "205-475-1489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "CORY",
        "middle_name": "BEATTIE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-18",
        "last_updated": "2011-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "5825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "R10708",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORY",
            "last_name": "BEATTIE",
            "middle_name": "ANN",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Karen Elaine Wesson, DOCTOR OF PHARMACY
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• Denise A Wheeler, DC
• Ebony Whitby, LICSW
• Roderick White, D.C.
• Shannon White, LPC
• Stacey L White
• Mark Whitworth
• Grelier Wilkerson, LICSW

• Dentist in Pelham, AL
• Providers in Pelham, AL by specialty
• Dentist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.