Individual provider Active NPI

Daniel Joe Whisenant, DMD

  • General Practice Dentistry
  • Vernon, AL
National Provider Identifier
1942520523
Registry record updated Jun 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5767 Issued in AL
Practice address
121 10TH St NW
Vernon, AL 35592-5843
Phone
(205) 695-7171
Fax
(205) 695-0801
NPI assigned
Jun 7, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2010

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 5767 AL Primary

Addresses

Primary practice location

121 10TH St NW
Vernon, AL 35592-5843

Mailing address

PO Box 448
Vernon, AL 35592-0448
Phone (205) 695-7171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150731014990 AL Order and Referring Only - Other (Non-Physician) 2769796911

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5767ALMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Larry J Whisenant PC Past Accepting new patients

Organizations & group practices 1

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": "1275868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277251200000",
    "number": "1942520523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 448",
            "city": "VERNON",
            "state": "AL",
            "postal_code": "355920448",
            "telephone_number": "205-695-7171",
            "fax_number": "205-695-4078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 10TH ST NW",
            "city": "VERNON",
            "state": "AL",
            "postal_code": "355925843",
            "telephone_number": "205-695-7171",
            "fax_number": "205-695-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHISENANT",
        "first_name": "DANIEL",
        "middle_name": "JOE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-07",
        "last_updated": "2010-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "5767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon, AL

Sources for this page

Verify at the official NPI Registry.