Individual provider Active NPI

Jordan Ransome White, DMD

  • General Practice Dentistry
  • Morrisville, NC
National Provider Identifier
1942749718
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10665 Issued in NC
Practice address
3607 Davis Dr Ste 209
Morrisville, NC 27560-6005
Phone
(919) 469-2122
NPI assigned
Feb 14, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Dentistry 1223G0001X 10665 NC Primary

Addresses

Primary practice location

3607 Davis Dr Ste 209
Morrisville, NC 27560-6005

Mailing address

1595 Vaughan Creek Rd
Pendleton, NC 27862-7081
Phone (252) 578-8299

Other practice location 1

3245 Hospital Dr
Juneau, AK 99801-7809
Phone (907) 463-6673

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

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Abdelbaky Boes Cameron & Associates of Morrisville PLLC General Practice CurrentSince Apr 3, 2022 Accepting new patients

Locations

3607 Davis Dr
Ste 209
Morrisville, NC 27560
Phone (919) 469-2122

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": "1487030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1942749718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1595 VAUGHAN CREEK RD",
            "city": "PENDLETON",
            "state": "NC",
            "postal_code": "278627081",
            "telephone_number": "252-578-8299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3607 DAVIS DR STE 209",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275606005",
            "telephone_number": "919-469-2122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3245 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Juneau",
            "state": "AK",
            "postal_code": "998017809",
            "country_code": "US",
            "telephone_number": "907-463-6673",
            "fax_number": "907-463-4032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JORDAN",
        "middle_name": "RANSOME",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-14",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "10665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrisville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.