Destin D. Whipple, OD, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1813 Issued in AZ

Legal business name

DESTIN D. WHIPPLE, OD, PLLC

Practice address

590 N Alma School Rd Ste 17
Chandler, AZ 85224-4332

Phone

(480) 821-2020

Fax

(480) 821-7968

NPI assigned

Nov 23, 2011

Last updated

Jul 20, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Destin D Whipple, ODNPI 1760763668

Title

Member

Phone

(480) 545-8985

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Destin Deon Whipple, OD

  • Optometrist
  • Mesa, AZ
  • NPI 1760763668
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1322006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1841567591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 N ALMA SCHOOL RD STE 17",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244332",
            "telephone_number": "480-821-2020",
            "fax_number": "480-545-9384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 N ALMA SCHOOL RD STE 17",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244332",
            "telephone_number": "480-821-2020",
            "fax_number": "480-821-7968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTIN D. WHIPPLE, OD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-23",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A",
        "authorized_official_last_name": "WHIPPLE",
        "authorized_official_first_name": "DESTIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "480-545-8985",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desert Valley Family Medicine
• Desert Valley Urgent Care
• Desert Valley Urgent Care, PLLC
• Desert Willow Home Care LLC
• Daniel Desmond, BHT
• Stefffen Scott Detherage
• Richard Detzel, PH.D SCHOOL PSYCHOLO
• Elana Deuble, LMSW
• Devel BH Consultants
• Developmental BH Consult

• Optometrist in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.