Michael Graham Wharton-Palmer, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

3019 Issued in AR

Practice address

1702 Arkansas Blvd
Texarkana, AR 71854-1610

Phone

(870) 774-3278

Fax

(870) 772-4593

NPI assigned

Nov 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Michael Wharton-Palmer

  • Pediatric Dentistry
  • Texarkana, AR
  • NPI 1952999807
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1942373576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 ARKANSAS BLVD",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718541610",
            "telephone_number": "870-774-3278",
            "fax_number": "870-772-4593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 ARKANSAS BLVD",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718541610",
            "telephone_number": "870-774-3278",
            "fax_number": "870-772-4593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHARTON-PALMER",
        "first_name": "MICHAEL",
        "middle_name": "GRAHAM",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AR",
            "license": "3019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHEIL",
            "identifier": "58332",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE COMPANY",
            "identifier": "1108992",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• James Bernard Weedman, M.D.
• Alison Elizabeth Weir, B.S.E
• Wellstart Medical, LLC
• Debbie White
• Donna Lynn White
• Dorcas White
• Lakita White
• Randy Keith White, LPC

• Pediatric Dentistry in Texarkana, AR
• Providers in Texarkana, AR by specialty
• Pediatric Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.