NPIMap

Organization Active NPI

Joe Bill Whitley DDS Inc

  • Dentist
  • San Antonio, TX
National Provider Identifier
1982863874
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6593 Issued in TX
Legal business name
JOE BILL WHITLEY DDS INC
Practice address
2206 East Commerce
San Antonio, TX 78203
Phone
(210) 224-4026
Fax
(210) 224-0075
NPI assigned
Jun 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

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

Authorized official

Name
Dr. Joe Bill Whitley, DDS
Title
Dentist Owner
Phone
(210) 224-4026

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 6593 TX Primary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 12325 TX

Addresses

Primary practice location

2206 East Commerce
San Antonio, TX 78203

Mailing address

2206 East Commerce
San Antonio, TX 78203
Phone (210) 224-4026

Other identifiers 1

IdentifierTypeStateIssuer
120877902MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
Joe Bill Whitley DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1982863874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2206 EAST COMMERCE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78203",
            "telephone_number": "210-224-4026",
            "fax_number": "210-224-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2206 EAST COMMERCE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78203",
            "telephone_number": "210-224-4026",
            "fax_number": "210-224-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOE BILL WHITLEY DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "WHITLEY",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "BILL",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "210-224-4026",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "6593",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "12325",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120877902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.