Individual provider Active NPI

Larry David Whiting, DDS

  • Dentist
  • Plano, TX
National Provider Identifier
1972766178
Registry record updated Mar 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14009 Issued in TX
Practice address
660 N Central Expwy
Suite 644
Plano, TX 75074-6760
Phone
(972) 881-7550
Fax
(972) 422-1552
NPI assigned
Jul 8, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 14009 TX Primary

Addresses

Primary practice location

660 N Central Expwy
Suite 644
Plano, TX 75074-6760

Mailing address

660 N Central Expwy
Suite 644
Plano, TX 75074-6760
Phone (972) 881-7550

Other identifiers 1

IdentifierTypeStateIssuer
091049902MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231215000478 TX Order and Referring Only - DentistPractitioner - Dentist 5991017881

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14009TXMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332288000000",
    "number": "1972766178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 N CENTRAL EXPWY",
            "address_2": "SUITE 644",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750746760",
            "telephone_number": "972-881-7550",
            "fax_number": "972-422-1552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 N CENTRAL EXPWY",
            "address_2": "SUITE 644",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750746760",
            "telephone_number": "972-881-7550",
            "fax_number": "972-422-1552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITING",
        "first_name": "LARRY",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-08",
        "last_updated": "2012-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "14009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "091049902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.