Andrew Quint Whitefield, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

7424 Issued in OK

Practice address

1618 N 5TH St Ste 2
Ponca City, OK 74601-2764

Phone

(580) 762-5624

NPI assigned

May 25, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Family Dentistry

  • Dentist
  • Ponca City, OK
  • NPI 1558744995
  NPD (past)
• Quint a Whitefield DDS PC

  • General Practice Dentistry
  • Ponca City, OK
  • NPI 1598985723
  NPD (past)

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1669047346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1618 N 5TH ST STE 2",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746012764",
            "telephone_number": "580-762-5624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1618 N 5TH ST STE 2",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746012764",
            "telephone_number": "580-762-5624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEFIELD",
        "first_name": "ANDREW",
        "middle_name": "QUINT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-25",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "7424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• White Eagle Dialysis Center
• White Eagle Health Center
• White Eagle Health Center
• White Eagle Health Center
• Emma Brook White, MSW
• Quint Allen Whitefield, D.D.S.
• Katrina Wicker
• Gary Earl Wilburn
• Aaron Paul Wilcox, D.O.
• Alan Keith Wilcoxson

• All providers in Ponca City, OK
• Dentist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.