Michael James Whitted, D.D.S..

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

1950 Gyorr Ave
South Elgin, IL 60177-2289

Phone

(847) 695-5100

Fax

(847) 695-5180

NPI assigned

Aug 13, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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 IL

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Michael J. Whitted DDS PC

  dba Michael J. Whitted & Associates

  • General Practice Dentistry
  • South Elgin, IL
  • NPI 1891118428
  NPD (past) Authorized official

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750393989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 GYORR AVE",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601772289",
            "telephone_number": "847-695-5100",
            "fax_number": "847-695-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 GYORR AVE",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601772289",
            "telephone_number": "847-695-5100",
            "fax_number": "847-695-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTED",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.D.S..",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #04463)
• Walgreen Co. (Walgreens #6796)
• Walgreens
• Rona Wardak, MD
• Elizabeth Welch, DC
• Emily Wible, DMD
• Jennifer Marie Williams, PT, DPT
• Katie Wilson, M.S. CCC-SLP/L
• Aisha Yaseen
• Clark A. Zeddies, M.D.

• General Practice Dentistry in South Elgin, IL
• Providers in South Elgin, IL by specialty
• General Practice Dentistry in Illinois

• 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.
• 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.