Jason Edward White, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

8733 Issued in TN

Practice address

6565 Stage Rd
Suite 2
Bartlett, TN 38134-3830

Phone

(901) 382-4148

NPI assigned

Aug 13, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

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 and National Provider Directory roles.

• Brink & White Pediatric Dental Associates, PLLC

  • Pediatric Dentistry
  • Bartlett, TN
  • NPI 1629262399
  NPD (past)

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1831381037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 STAGE RD",
            "address_2": "SUITE 2",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381343830",
            "telephone_number": "901-382-0280",
            "fax_number": "901-791-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 STAGE RD",
            "address_2": "SUITE 2",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381343830",
            "telephone_number": "901-382-4148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JASON",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-13",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "8733",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TN",
            "license": "8733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q013687",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• West Tennessee Neurology, P. C.
• West TN Neurology Clinic PLLC
• Aldridge Smith Westrich, FNP
• Elizabeth White, MSN, NP-C
• Hannah Bethany White, RDN, LDN, CDCES, CPT
• Joshua Thomas White, PHARMD
• Megan Marie White, MS, RD, LD
• Sylvia Thomas White, LPC-MHSP, RD, LDN
• Cindy Whitehead
• Marla Whitfield, FNP

• Pediatric Dentistry in Bartlett, TN
• Providers in Bartlett, TN by specialty
• Pediatric Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; 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.