E Leo Whitworth Jr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13558 Issued in MA

Practice address

542 River St
Mattapan, MA 02126-3014

Phone

(617) 298-1955

Fax

(617) 296-6004

NPI assigned

Mar 8, 2007

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

Other names 1

• Dr. E Leo Whitworth Jr. Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364947200000",
    "number": "1992836209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 RIVER ST",
            "city": "MATTAPAN",
            "state": "MA",
            "postal_code": "021263014",
            "telephone_number": "617-298-1955",
            "fax_number": "617-296-6004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 RIVER ST",
            "city": "MATTAPAN",
            "state": "MA",
            "postal_code": "021263014",
            "telephone_number": "617-298-1955",
            "fax_number": "617-296-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITWORTH",
        "first_name": "E",
        "middle_name": "LEO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2013-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "13558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "E",
            "last_name": "WHITWORTH",
            "middle_name": "LEO",
            "prefix": "DR.",
            "suffix": "JR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Ryan Mark Warnock, D.C.
• Torleah A Washington
• Monique S White
• Whitworth Dental Assoc
• Cal B Whitworth, DC
• Antonio Jamaal Wideman, PEER SPECIALIST
• Stephanie M Williams, MUA
• Bernice Wong, MD
• Binglan Xue, DMD
• Cynthia Yu, DPT

• General Practice Dentistry in Mattapan, MA
• Providers in Mattapan, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; 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.