NPIMap

Organization Active NPI

White Smiles Pediatric Dentistry

  • Pediatric Dentistry
  • Vernal, UT
National Provider Identifier
1881257657
Registry record updated Apr 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
WHITE SMILES PEDIATRIC DENTISTRY
Practice address
787 W Highway 40
Vernal, UT 84078-2427
Phone
(435) 789-7533
Fax
(435) 789-7532
NPI assigned
Apr 17, 2019
Last updated
Apr 17, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2019

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

Authorized official

Name
Dr. Travis R. White, DMDNPI 1902002421
Title
Owner
Phone
(435) 789-7533

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X NU Primary

Addresses

Primary practice location

787 W Highway 40
Vernal, UT 84078-2427

Mailing address

787 W Highway 40
Vernal, UT 84078-2427
Phone (435) 789-7533

National Provider Directory

National Provider Directory

Locations

787 W Highway 40
Vernal, UT 84078
Phone (435) 789-7533

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555459200000",
    "number": "1881257657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "787 W HIGHWAY 40",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840782427",
            "telephone_number": "435-789-7533",
            "fax_number": "435-789-7532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "787 W HIGHWAY 40",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840782427",
            "telephone_number": "435-789-7533",
            "fax_number": "435-789-7532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE SMILES PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-17",
        "last_updated": "2019-04-17",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-789-7533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernal, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.