Organization Active NPI

Robert D White DDS

  • Dentist
  • Wimberley, TX
National Provider Identifier
1992164388
Registry record updated Feb 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
13423 Issued in TX
Legal business name
ROBERT D WHITE DDS
Practice address
140 Joe Wimberley Blvd
Wimberley, TX 78676-0319
Phone
(512) 847-9521
Fax
(512) 847-6185
NPI assigned
Feb 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2016

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

Authorized official

Name
Dr. Robert Daniel White, DDS
Title
Owner
Phone
(512) 847-9521

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 13423 TX Primary

Addresses

Primary practice location

140 Joe Wimberley Blvd
Wimberley, TX 78676-0319

Mailing address

PO Box 319
140 Joe Wimberley Blvd
Wimberley, TX 78676-0319
Phone (512) 847-9521

Other identifiers 2

IdentifierTypeStateIssuer
31152OtherTXSTATE LICENSE NUMBER
013423OtherTXSTATE LICENSE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1455494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455494400000",
    "number": "1992164388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 319",
            "address_2": "140 JOE WIMBERLEY BLVD",
            "city": "WIMBERLEY",
            "state": "TX",
            "postal_code": "786760319",
            "telephone_number": "512-847-9521",
            "fax_number": "512-847-6185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 JOE WIMBERLEY BLVD",
            "city": "WIMBERLEY",
            "state": "TX",
            "postal_code": "786760319",
            "telephone_number": "512-847-9521",
            "fax_number": "512-847-6185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT D WHITE DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-15",
        "last_updated": "2016-02-15",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-847-9521",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "13423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "31152",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "013423",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wimberley, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; 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.