Robert C. White, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE60171760 Issued in WA

Practice address

6706 24TH St W
University Place, WA 98466-5460

Phone

(253) 565-1145

NPI assigned

Jul 27, 2010

Last updated

Feb 1, 2011By 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 WA

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.

• Steven S. Broughton D.D.S. Dental of University Place PLLC

  dba Light Dental Studios University Place

  • Dentist
  • University Place, WA
  • NPI 1962708651
  NPD (past)

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296518400000",
    "number": "1750695219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6706 24TH ST W",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984665460",
            "telephone_number": "253-565-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6706 24TH ST W",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984665460",
            "telephone_number": "253-565-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "ROBERT",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-27",
        "last_updated": "2011-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60171760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Anne Wenner, MD
• Grace Westhof, LMFTA
• Margaret R Wheeler, PT
• Jasmine Iyana White
• Jessica Morgan White, ACNP-BC, FNP
• Gregory J Wiles, DC
• Briana Nicole Wiley
• Spencer Moser Willardsen, DDS
• Dawn Charisse Williams, LMFTA
• Kortnie Williams

• General Practice Dentistry in University Place, WA
• Providers in University Place, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; 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.