Active NPI
Matan White, M.D.
- Psychiatry Physician
- Dallas, TX
National Provider Identifier
1962763649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- Q7810
- Practice address
- 5925 Forest LN Ste 218
Dallas, TX 75230-2783 - Phone
- (469) 444-7760
- Fax
- (715) 248-8073
- NPI assigned
- May 30, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Q7810 | TX | Primary |
Addresses
Primary practice location
5925 Forest LN Ste 218
Dallas, TX 75230-2783
Mailing address
5925 Forest LN Ste 218
Dallas, TX 75230-2783
Phone (469) 444-7760
Other practice location 1
5201 Harry Hines Blvd
Graduate Medical Education
Dallas, TX 75235-7708
Phone (214) 590-8058
Medicare participation
Medicare enrollment files- 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: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Feb 27, 2020 through Feb 27, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606953600000",
"number": "1962763649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5925 FOREST LN STE 218",
"city": "DALLAS",
"state": "TX",
"postal_code": "752302783",
"telephone_number": "469-444-7760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5925 FOREST LN STE 218",
"city": "DALLAS",
"state": "TX",
"postal_code": "752302783",
"telephone_number": "469-444-7760",
"fax_number": "715-248-8073"
}
],
"practiceLocations": [
{
"address_1": "5201 Harry Hines Blvd",
"address_2": "Graduate Medical Education",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752357708",
"country_code": "US",
"telephone_number": "214-590-8058",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITE",
"first_name": "MATAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-30",
"last_updated": "2020-12-03",
"certification_date": "2020-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "Q7810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; 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.