Individual provider Active NPI

Whitney Forsythe, DMD

  • General Practice Dentistry
  • Mount Vernon, WA
National Provider Identifier
1912437757
Registry record updated Oct 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D009741 Issued in AZ
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

Updated by the provider on Oct 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
D009741AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.