Active NPI
Whitney Forsythe, DMD
- General Practice Dentistry
- Mount Vernon, WA
National Provider Identifier
1912437757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D009741
- Practice address
- 219 N 10TH St
Mount Vernon, WA 98273-3330 - Phone
- (360) 336-6193
- NPI assigned
- Jun 14, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D009741 | AZ | Primary |
Addresses
Primary practice location
219 N 10TH St
Mount Vernon, WA 98273-3330
Mailing address
17503 25TH Ave NE Unit M305
Marysville, WA 98271-4841
Phone (785) 640-3557
Other practice location 1
9915 W McDowell Rd Ste 106
Avondale, AZ 85392-4897
Phone (623) 907-4562
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D009741 | AZ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dennis a Edmonds DDS Inc PS | Past | Accepting new patients | |
| Gateway Dental Group, LLP | General Practice | Past | Accepting new patients |
| Whitney Forsythe DMD & Nick Forsythe DMD PLLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Dental Clinic/Center
- Mount Vernon, WA
- NPI 1437634672
-
- Dentist
- Mount Vernon, WA
- NPI 1932100013
-
- General Practice Dentistry
- Avondale, AZ
- NPI 1992834121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540512000000",
"number": "1912437757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17503 25TH AVE NE UNIT M305",
"city": "MARYSVILLE",
"state": "WA",
"postal_code": "982714841",
"telephone_number": "785-640-3557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 N 10TH ST",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982733330",
"telephone_number": "360-336-6193"
}
],
"practiceLocations": [
{
"address_1": "9915 W McDowell Rd Ste 106",
"address_purpose": "LOCATION",
"city": "Avondale",
"state": "AZ",
"postal_code": "853924897",
"country_code": "US",
"telephone_number": "623-907-4562",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FORSYTHE",
"first_name": "WHITNEY",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-14",
"last_updated": "2018-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "D009741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Vernon, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.