Active NPI
Robert Cecil White Jr., DMD MS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Greenwood, MS
National Provider Identifier
1881714764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 1955-81 OR-76-83
- Practice address
- 914 Medallion Dr
Greenwood, MS 38930-2118 - Phone
- (662) 453-4545
- Fax
- (662) 453-2142
- NPI assigned
- Apr 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 1955-81 OR-76-83 | MS | Primary |
Addresses
Primary practice location
914 Medallion Dr
Greenwood, MS 38930-2118
Mailing address
914 Medallion Dr
Greenwood, MS 38930-2118
Phone (662) 453-4545
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1955-81 OR-76-83 | MS | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881714764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "914 MEDALLION DR",
"city": "GREENWOOD",
"state": "MS",
"postal_code": "389302118",
"telephone_number": "662-453-4545",
"fax_number": "662-453-2142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "914 MEDALLION DR",
"city": "GREENWOOD",
"state": "MS",
"postal_code": "389302118",
"telephone_number": "662-453-4545",
"fax_number": "662-453-2142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "ROBERT",
"middle_name": "CECIL",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DMD MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "MS",
"license": "1955-81 OR-76-83",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenwood, MS
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.