NPIMap

Organization Active NPI

John E. White, DDS & Stephen J. Raney, DMD a Professional Corp.

  • General Practice Dentistry
  • Columbia, IL
National Provider Identifier
1881895738
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JOHN E. WHITE, DDS & STEPHEN J. RANEY, DMD A PROFESSIONAL CORP.
Practice address
130 S Rapp Ave
Columbia, IL 62236-2352
Phone
(618) 281-7300
Fax
(618) 281-8872
NPI assigned
May 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ryan W. Klohr, D.M.D.NPI 1164592499
Title
Dentist
Phone
(618) 281-7300

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X IL Primary

Addresses

Primary practice location

130 S Rapp Ave
Columbia, IL 62236-2352

Mailing address

130 S Rapp Ave
Columbia, IL 62236-2352
Phone (618) 281-7300

National Provider Directory

National Provider Directory

Locations

130 S Rapp Ave
Columbia, IL 62236
Phone (618) 281-7300

Practitioners & affiliated clinicians

Practitioners 4

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": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881895738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 S RAPP AVE",
            "city": "COLUMBIA",
            "state": "IL",
            "postal_code": "622362352",
            "telephone_number": "618-281-7300",
            "fax_number": "618-281-8872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S RAPP AVE",
            "city": "COLUMBIA",
            "state": "IL",
            "postal_code": "622362352",
            "telephone_number": "618-281-7300",
            "fax_number": "618-281-8872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN E. WHITE, DDS & STEPHEN J. RANEY, DMD A PROFESSIONAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KLOHR",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "618-281-7300",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.