Individual provider Active NPI

Linda Rose White, D.M.D.

  • General Practice Dentistry
  • Tallahassee, FL
National Provider Identifier
1720103559
Registry record updated Mar 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17499 Issued in FL
Practice address
1211 W Tharpe St
Tallahassee, FL 32303-4607
Phone
(850) 385-6117
Fax
(850) 385-8306
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 17499 FL Primary

Addresses

Primary practice location

1211 W Tharpe St
Tallahassee, FL 32303-4607

Mailing address

PO Box 14622
Tallahassee, FL 32317-4622
Phone (850) 385-6117

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160328002053 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4587961040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17499FLMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Associate in Family Dental Care Tallahassee General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456790400000",
    "number": "1720103559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14622",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323174622",
            "telephone_number": "850-385-6117",
            "fax_number": "850-385-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 W THARPE ST",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323034607",
            "telephone_number": "850-385-6117",
            "fax_number": "850-385-8306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "LINDA",
        "middle_name": "ROSE",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2016-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "17499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.