William Cook Whiteside, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

8543 Issued in KY

Practice address

400 E Main St
Glasgow, KY 42141-2842

Phone

(270) 651-6471

Fax

(270) 651-6454

NPI assigned

Aug 26, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• G. Philip Whiteside DMD, PSC

  • General Practice Dentistry
  • Glasgow, KY
  • NPI 1093895864
  NPD (past)

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219708800000",
    "number": "1982851481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E MAIN ST",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421412842",
            "telephone_number": "270-651-6471",
            "fax_number": "270-651-6454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E MAIN ST",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421412842",
            "telephone_number": "270-651-6471",
            "fax_number": "270-651-6454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITESIDE",
        "first_name": "WILLIAM",
        "middle_name": "COOK",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-26",
        "last_updated": "2008-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "8543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• White Oak Virtual Care, PLLC
• Jason Matthew White, M.D.
• Leisa Kaye White, LPCA
• Nicole Lee White, D.I.
• Jim Hayes Whiteside, M.D.
• Whitney Thompson Optometry PSC
• Mitchell L Wiatrak, MD
• William F Marrs
• William T. Thistlethwaite M.D. PLLC
• Ashley Rae Williams, APRN

• Dentist in Glasgow, KY
• Providers in Glasgow, KY by specialty
• Dentist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.