Organization Active NPI

Dennis Whitehouse Inc

  • Family Medicine Physician
  • Pauls Valley, OK
National Provider Identifier
1922338326
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100090420BMedicaidOK

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.