Active NPI
James Derek White, DMD
- Endodontics
- Madison, MS
National Provider Identifier
1891822474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 3242-02
- Practice address
- 1 Woodgreen PL
Suite 100
Madison, MS 39110-8161 - Phone
- (601) 605-5015
- Fax
- (601) 605-6440
- NPI assigned
- Feb 28, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 3242-02 | MS | Primary |
Addresses
Primary practice location
1 Woodgreen PL
Suite 100
Madison, MS 39110-8161
Mailing address
1 Woodgreen PL
Suite 100
Madison, MS 39110-8161
Phone (601) 605-5015
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3242-02 | MS | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353456000000",
"number": "1891822474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 WOODGREEN PL",
"address_2": "SUITE 100",
"city": "MADISON",
"state": "MS",
"postal_code": "391108161",
"telephone_number": "601-605-5015",
"fax_number": "601-605-6440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 WOODGREEN PL",
"address_2": "SUITE 100",
"city": "MADISON",
"state": "MS",
"postal_code": "391108161",
"telephone_number": "601-605-5015",
"fax_number": "601-605-6440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "JAMES",
"middle_name": "DEREK",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-28",
"last_updated": "2012-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "MS",
"license": "3242-02",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.