Kingsly Dione White, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D11770 Issued in OR

Practice address

80 NE Bend River Mall Ave
Bend, OR 97703-7528

Phone

(541) 647-5555

NPI assigned

May 23, 2007

Sex

Female

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

Locations

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.

• Eric M Cadwell DDS PLLC

  dba PureCare Dental of Bend

  • Dental Clinic/Center
  • Bend, OR
  • NPI 1851609416
  NPD

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1871703082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61438 LINTON LOOP",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023219",
            "telephone_number": "678-800-3970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 NE BEND RIVER MALL AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977037528",
            "telephone_number": "541-647-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "KINGSLY",
        "middle_name": "DIONE",
        "name_prefix": "Prof.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D11770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Makena Whitaker, MS, RDN, LD
• Jonnie Whitcomb, LMT
• Allison White, LCSW
• Joanne White
• Kimberly Marie White, PHARMD
• Lea C White, LIC.AC.
• Madison Anne White, LMFT
• Michelle Whitehead, MHNP PHD
• Cassondra Whiting
• Charles Whiting, MD

• General Practice Dentistry in Bend, OR
• Providers in Bend, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.