Individual provider Active NPI

Julia M.K. White, D.D.S.

  • Dentist
  • Goode, VA
National Provider Identifier
1942640495
Registry record updated Jul 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401414026 Issued in VA
Practice address
8642 Forest Rd
Goode, VA 24556
Phone
(540) 587-5707
Fax
(540) 587-5727
NPI assigned
Jun 28, 2013
Last updated
Jul 31, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401414026 VA Primary

Addresses

Primary practice location

8642 Forest Rd
Goode, VA 24556

Mailing address

8642 Forest Rd
Goode, VA 24556
Phone (540) 587-5707

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0401414026VAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
BWJ Dentistry, PLLC CurrentSince Jun 27, 2021 Accepting new patients
A. R. Hendricksen, D.D.S., Inc. PastSince Aug 6, 2019 Accepting new patients
Richard D Smith II DDS PC Past Accepting new patients

Locations

8642 Forest Rd
Goode, VA 24556
Phone (540) 587-5707

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1942640495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8642 FOREST RD",
            "city": "GOODE",
            "state": "VA",
            "postal_code": "24556",
            "telephone_number": "540-587-5707",
            "fax_number": "540-587-5727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8642 FOREST RD",
            "city": "GOODE",
            "state": "VA",
            "postal_code": "24556",
            "telephone_number": "540-587-5707",
            "fax_number": "540-587-5727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JULIA",
        "middle_name": "M.K.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-28",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401414026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goode, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; 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.