Edmund Stuart Whitson IV, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

41417 Issued in TX

Practice address

937 FM 1821 Ste K
Mineral Wells, TX 76067-9134

Phone

(940) 325-4200

NPI assigned

Jul 23, 2020

Last updated

Oct 20, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mineral Wells, PLLC

  • General Practice Dentistry
  • Mineral Wells, TX
  • NPI 1740663475
  NPD (past)

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1992314124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4615 CALLE ARENOSO",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325147915",
            "telephone_number": "813-784-4542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "937 FM 1821 STE K",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760679134",
            "telephone_number": "940-325-4200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2850 Monroe St",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325147656",
            "country_code": "US",
            "telephone_number": "850-484-4844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITSON",
        "first_name": "EDMUND",
        "middle_name": "STUART",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-23",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "25206",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "41417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William John Warren, DPM
• Todd Michial Weaver
• Janiel Lynn Werner, MNT
• West Wharton County Hospital District (Mineral Wells Nursing & Rehabilitation)
• Dacia Whitaker, LCSW
• Sherry Diane Wiley, SLP-ASSISTANT
• William J. Warren DPM PA
• Thomas Williams, PHARM D
• Your Porch Pediatrics

• Dentist in Mineral Wells, TX
• Providers in Mineral Wells, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; 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.