Organization Active NPI

James a Whitley, DDS PA

  • General Practice Dentistry
  • Raleigh, NC
National Provider Identifier
1982633848
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
NC 5430 Issued in NC
Legal business name
JAMES A WHITLEY, DDS PA
Practice address
309 W Millbrook Rd
Suite 181
Raleigh, NC 27609-4385
Phone
(919) 789-0400
Fax
(919) 789-0440
NPI assigned
Jul 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. James Arthur Whitley Jr., DDSNPI 1093702847
Title
President
Phone
(919) 789-0400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X NC 5430 NC Primary

Addresses

Primary practice location

309 W Millbrook Rd
Suite 181
Raleigh, NC 27609-4385

Mailing address

309 W Millbrook Rd
Suite 181
Raleigh, NC 27609-4385
Phone (919) 789-0400

Other identifiers 2

IdentifierTypeStateIssuer
5430OtherNCSTATE LICENSE NUMBER
99245OtherNCBCBSNC IDENTIFIER

National Provider Directory

National Provider Directory

Locations

309 W Millbrook Rd
Ste 181
Raleigh, NC 27609
Phone (919) 789-0400

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982633848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 W MILLBROOK RD",
            "address_2": "SUITE 181",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094385",
            "telephone_number": "919-789-0400",
            "fax_number": "919-789-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 W MILLBROOK RD",
            "address_2": "SUITE 181",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094385",
            "telephone_number": "919-789-0400",
            "fax_number": "919-789-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES A WHITLEY, DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITLEY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-789-0400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "NC 5430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "5430",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC IDENTIFIER",
            "identifier": "99245",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.