Joseph M Whitesides, DMD, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

24121 Issued in TX

Practice address

840 Central Pkwy E
Suite 100
Plano, TX 75074-5551

Phone

(972) 578-7800

Fax

(469) 361-4700

NPI assigned

Jul 17, 2008

Sex

Male

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Packard Orthodontics PA

  dba Apple Orthodontix

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Plano, TX
  • NPI 1114045267
  NPD (past)
• Scott Law Ortho Corp, PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Plano, TX
  • NPI 1689109977
  NPD (past)

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1699939736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 EL CERITO CT",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339506430",
            "telephone_number": "813-706-5425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 CENTRAL PKWY E",
            "address_2": "SUITE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750745551",
            "telephone_number": "972-578-7800",
            "fax_number": "469-361-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITESIDES",
        "first_name": "JOSEPH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DMD, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-17",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN18814",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "24121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OFFICE ENI",
            "identifier": "454958919",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vanessa White, M.S.CCC-SLP
• Shannon Whitehead, ARNP
• William Claude Whitehead, PH. D.
• Helen Whitehouse, RDN
• Sanoya Whitelow
• Angela Whitfield, MED
• Patrick Michael Whitfield, RN NP-C
• Larry David Whiting, DDS
• Jessica Lee Whitis, MSN APRN AGACNP-BC
• Marcus Whitmore, D.D.S.

• Orthodontics and Dentofacial Orthopedics Dentistry in Plano, TX
• Providers in Plano, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; 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.