Daniel Whitesitt, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D-5039 Issued in ID

Practice address

14596 Id-41
Rathdrum, ID 83858

Phone

(208) 687-4455

NPI assigned

Jun 5, 2019

Last updated

Jun 5, 2019By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Lakeland Family Dental

  • General Practice Dentistry
  • Rathdrum, ID
  • NPI 1467324749
  NPD (past)
• Lakeland Family Dental LLC

  • General Practice Dentistry
  • Rathdrum, ID
  • NPI 1790659746
  NPD (past)

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1811555758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3009 N CHARLEVILLE RD APT 227",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838547870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14596 ID-41",
            "city": "RATHDRUM",
            "state": "ID",
            "postal_code": "83858",
            "telephone_number": "208-687-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITESITT",
        "first_name": "DANIEL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-05",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D-5039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paden Vance
• Macie Ann Vanmatre
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• Kathryn Walker, NP-C
• Watson Counseling & Consulting, LLC
• Mary Whitney, RPH
• Sonya Dee Williams, MSW, LICSW, LCSW
• Elisha Wright, M.A., CCC-SLP
• Nataliya Yevtushenko
• Michael Richard Zeimantz Jr., PT

• General Practice Dentistry in Rathdrum, ID
• Providers in Rathdrum, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.