Keith Douglas White, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8079 Issued in NC

Practice address

2935 Breezewood Ave
Suite200
Fayetteville, NC 28303-5284

Phone

(910) 323-3133

Fax

(910) 323-9616

NPI assigned

Feb 8, 2007

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 NC

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.

• Walter S Scott DDS PA

  dba Walter S Scott and Associates

  • General Practice Dentistry
  • Fayetteville, NC
  • NPI 1942497433
  NPD (past)

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790825602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 WOODS LN",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283769314",
            "telephone_number": "910-848-0123",
            "fax_number": "910-848-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2935 BREEZEWOOD AVE",
            "address_2": "SUITE200",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035284",
            "telephone_number": "910-323-3133",
            "fax_number": "910-323-9616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "KEITH",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bria White
• Cathy White, CRT
• Charles Sawyer Duval White, PA-C
• Christina White, M.D.
• Cortney White
• Molly McGowan White, MS, CCC/SLP
• Pasley Morgan White, FNP - C
• Percy Rodridiquies White Sr., MA, LCMHC, LCAS, NCC
• Robert J White, DPT
• Shana White

• General Practice Dentistry in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• General Practice Dentistry in North Carolina

• 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.