Gladys Johnson Whitten, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

11953 Issued in TX

Practice address

5730 66TH St
Suite 2
Lubbock, TX 79424-1224

Phone

(806) 535-0238

Fax

(806) 794-0025

NPI assigned

Dec 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Gladys Johnson Whitten Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2016 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: gladys.whittendmd@direct.myteamcare.com

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412121600000",
    "number": "1952462897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16209",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794906209",
            "telephone_number": "806-535-0238",
            "fax_number": "806-794-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5730 66TH ST",
            "address_2": "SUITE 2",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794241224",
            "telephone_number": "806-535-0238",
            "fax_number": "806-794-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTEN",
        "first_name": "GLADYS",
        "middle_name": "JOHNSON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2014-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "11953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GLADYS",
            "last_name": "WHITTEN",
            "middle_name": "JOHNSON",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jamal Devone Whitfield Sr.
• Lynn Whitfield, LMFT
• Jason B Whiting, PHD, LMFT
• Jayme Whitley
• Bonnie Whitt-McNeil, PTA
• Kelli Jo Whitten, FNP
• Alyssa Paige Wianecki, MS., CCC-SLP
• Brett Wiggins, PTA
• Brenda Joy Wilbanks, ED.D, LPC, LMFT
• Cody Wilbanks

• Oral and Maxillofacial Surgery (Dentist) in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.