Robert Whittaker, D.M.D., M.D.

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

Practice address

10 W 3Rd St
Sterling, IL 61081-3503

Phone

(815) 625-4790

NPI assigned

Oct 16, 2006

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

Other identifiers 2

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: robert.whittakerdds.p16@direct.fhn-fqhc.nextgenshare.com

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

• CGH Medical Center

  • General Acute Care Hospital
  • Sterling, IL
  • NPI 1902854623
  Medicare reassignment NPD
• County of Whiteside

  • Federally Qualified Health Center (FQHC)
  • Rock Falls, IL
  • NPI 1528008034
  Medicare reassignment NPD
• County of Whiteside

  • Public Health or Welfare Agency
  • Rock Falls, IL
  • NPI 1699778373
  Medicare reassignment NPD
• CGH Medical Center

  • Durable Medical Equipment & Medical Supplies
  • Morrison, IL
  • NPI 1447415724
  NPD
• CGH Medical Center

  • Family Medicine Physician
  • Sterling, IL
  • NPI 1548540636
  NPD
• Whiteside County Community Health Clinic

  • Federally Qualified Health Center (FQHC)
  • Sterling, IL
  • NPI 1821744194
  NPD
• Sterling Rock Falls Clinic

  • Multi-Specialty Clinic/Center
  • Dixon, IL
  • NPI 1588746101
  NPD (past)
• Sterling Rock Falls Clinic, LTD

  • Multi-Specialty Clinic/Center
  • Sterling, IL
  • NPI 1205918810
  NPD (past)
• Sterling Rock Falls Clinic, LTD

  • Multi-Specialty Clinic/Center
  • Morrison, IL
  • NPI 1760564330
  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821178617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E MILLER RD",
            "city": "STERLING",
            "state": "IL",
            "postal_code": "610811252",
            "telephone_number": "815-625-4790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 W 3RD ST",
            "city": "STERLING",
            "state": "IL",
            "postal_code": "610813503",
            "telephone_number": "815-625-4790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTAKER",
        "first_name": "ROBERT",
        "credential": "D.M.D., M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE PLAN",
            "identifier": "045382",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "9815737",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wendy L Wells, D.M.D.
• Andrew A West, MD
• Jessica White, NP
• Whiteside County Community Health Clinic
• Whiteside County Community Health Clinic
• Cassie Wiersema
• Jessica A Wilde, AUD
• Cheryle F Williams, CRNA
• Debra Joann Williams, L.S.W.
• Lauren Natalie Wills, D.C.

• Oral & Maxillofacial Surgery (D.M.D.) in Sterling, IL
• Providers in Sterling, IL by specialty
• Oral & Maxillofacial Surgery (D.M.D.) 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.