Active NPI
Donald C. Whiteside, MD
- Obstetrics & Gynecology Physician
- Charlotte, NC
National Provider Identifier
1720197825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 28103
- Practice address
- 101 E WT Harris Blvd
Suite 2320
Charlotte, NC 28262-3485 - Phone
- (704) 547-0858
- Fax
- (704) 547-9053
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 28103 | NC | Primary |
Addresses
Primary practice location
101 E WT Harris Blvd
Suite 2320
Charlotte, NC 28262-3485
Mailing address
PO Box 601021
Charlotte, NC 28260-1021
Phone (704) 547-0858
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28103 | NC | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720197825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 601021",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282601021",
"telephone_number": "704-547-0858",
"fax_number": "704-547-9053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E WT HARRIS BLVD",
"address_2": "SUITE 2320",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282623485",
"telephone_number": "704-547-0858",
"fax_number": "704-547-9053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITESIDE",
"first_name": "DONALD",
"middle_name": "C.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NC",
"license": "28103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.