Rex Allan Whiteman, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN009988 Issued in GA

Practice address

3780 Holcomb Bridge Rd
Suite a
Norcross, GA 30092-2701

Phone

(770) 446-5700

Fax

(770) 446-9429

NPI assigned

Jul 28, 2006

Last updated

Mar 15, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in FL

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

State licenses

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268611200000",
    "number": "1699789495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3780 HOLCOMB BRIDGE RD",
            "address_2": "SUITE A",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300922701",
            "telephone_number": "770-446-5700",
            "fax_number": "770-446-9429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3780 HOLCOMB BRIDGE RD",
            "address_2": "SUITE A",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300922701",
            "telephone_number": "770-446-5700",
            "fax_number": "770-446-9429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEMAN",
        "first_name": "REX",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2010-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN009988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terria Wheeler
• Clinton M White, PA
• Devan White
• Margaret Anne White, MD
• Diana Margaret Whiteman, M.D.
• Kimberly Royale Stubbs Whitworth, MD
• Wholecare Caregivers LLC
• Wholecare Medical, Inc
• Wholecare Wellness LLC (wholecare wellness)
• Julia Keanna Wigfall, MSW

• General Practice Dentistry in Norcross, GA
• Providers in Norcross, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; 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.