Active NPI
Dennis Whitehouse Inc
- Family Medicine Physician
- Pauls Valley, OK
National Provider Identifier
1922338326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- DENNIS WHITEHOUSE INC
- Practice address
- 415 W Guy Ave
Pauls Valley, OK 73075-3200 - Phone
- (405) 238-1170
- Fax
- (405) 238-9346
- NPI assigned
- Jan 6, 2010
- Last updated
- Jun 30, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dennis Ray Whitehouse, D.O.
- Title
- Owner
- Phone
- (405) 238-1170
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
415 W Guy Ave
Pauls Valley, OK 73075-3200
Mailing address
415 W Guy Ave
Pauls Valley, OK 73075-3200
Phone (405) 238-1170
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100090420B | Medicaid | OK |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1277856000000",
"number": "1922338326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 W GUY AVE",
"city": "PAULS VALLEY",
"state": "OK",
"postal_code": "730753200",
"telephone_number": "405-238-1170",
"fax_number": "405-238-9346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 W GUY AVE",
"city": "PAULS VALLEY",
"state": "OK",
"postal_code": "730753200",
"telephone_number": "405-238-1170",
"fax_number": "405-238-9346"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENNIS WHITEHOUSE INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-06",
"last_updated": "2010-06-30",
"status": "A",
"authorized_official_last_name": "WHITEHOUSE",
"authorized_official_first_name": "DENNIS",
"authorized_official_middle_name": "RAY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "405-238-1170",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100090420B",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pauls Valley, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.