Daniel White DDS PC

Primary specialty

DentistTaxonomy code 122300000X

License

12007822 Issued in IN

Legal business name

DANIEL WHITE DDS PC

Practice address

211 N Saint Peter St
South Bend, IN 46617-2823

Phone

(574) 288-9400

Fax

(574) 288-7100

NPI assigned

Aug 5, 2015

Last updated

Aug 5, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Daniel E White, DDS

Title

Owner

Phone

(574) 288-9400

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438732800000",
    "number": "1710363395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 N SAINT PETER ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466172823",
            "telephone_number": "574-288-9400",
            "fax_number": "574-288-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N SAINT PETER ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466172823",
            "telephone_number": "574-288-9400",
            "fax_number": "574-288-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL WHITE DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-05",
        "last_updated": "2015-08-05",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-288-9400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12007822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100144280A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie Daggy, PTA
• Princess Dalieh, RBT
• Shanti T Dalson, DPT
• Dhruv Dang, DMD
• Daniel O. Elliott III OD
• Shannon Daniels
• Marjorie Thermidor Daoud, MD
• Jocelyn Daroy
• Kaylie Marie Darrenkamp, BCBA
• Aditi Suryakant Datta, PT

• Dentist in South Bend, IN
• Providers in South Bend, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; 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.