DR. KENNETH WAYNE WHITE JR. (NPI# 1912520057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912520057 |
| Entity Type | Individual |
| Full Name | DR. KENNETH WAYNE WHITE JR. |
| Practice Address |
8525 Pit Stop Ct Nw Ste A Concord NC 28027-8338 |
| Mailing Address |
128 Stuart Ave Southport NC 28461-3062 |
| Practice Telephone | 7045482700 |
| Mailing Telephone | 9105230767 |
| Enumeration Date | 2020-05-23 |
| Last Update Date | 2020-08-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 11902 | NC | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215329636 | Kenneth White | Case Manager/Care Coordinator | 11937 Chester Creek Rd, Jacksonville, FL 32218-3314 | 2015-02-22 |
| 1558683847 | Kenneth Julius White | Pharmacist | 4269 Roswell Rd, Marietta, GA 30062-6488 | 2010-02-27 |
| 1316199268 | Kenneth Francis White | Dentist | 6273 Annapurna Dr, Evergreen, CO 80439-5332 | 2008-10-22 |
| 1003976358 | Kenneth L White | Optometrist | 2316 83rd St Nw, Gig Harbor, WA 98332-7545 | 2006-12-09 |
| 1609877836 | Kenneth Samuel White | Surgery | 1404 Commonwealth Dr, Wilmington, NC 28403-1473 | 2005-08-10 |
| 1992297048 | Kenneth White | Physical Therapist | 25900 Greenfield Rd, Oak Park, MI 48237-1292 | 2018-06-05 |
| 1073909040 | Kenneth Ray White | Nurse Practitioner | 1240 Lee St, Charlottesville, VA 22908-0001 | 2015-04-07 |
| 1801133657 | Kenneth Ray White | Social Worker | 512 Sw Port St Lucie Blvd, Port St Lucie, FL 34953-1943 | 2013-01-14 |
| 1144599812 | Kenneth E White | Psychiatry & Neurology | 24 Chestnut St, Vinalhaven, ME 04863-0823 | 2011-12-23 |
| 1063795110 | Kenneth H White | Counselor | 1225 W Mitchell St, #223, Milwaukee, WI 53204-3383 | 2011-09-26 |
| Street Address |
8525 PIT STOP CT NW STE A |
| City | CONCORD |
| State | NC |
| Zip Code | 28027-8338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740758044 | Armentha Prosper-chicas | Dentist | 8525 Pit Stop Ct Nw Ste A, Concord, NC 28027-8338 | 2018-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023652252 | Medcare Transport of Nc | Non-emergency Medical Transport (VAN) | 7039 Northwinds Dr Nw, Unit C, Concord, NC 28027 | 2019-10-31 |
| 1538718770 | Carolyn Ann Broadnax | Technician | 3524 Cedar Springs Dr, Concord, NC 28027 | 2019-09-10 |
| 1447806575 | Claire-ann E Papp | Dentist | 8815 Christenbury Parkway, Suite 40, Concord, NC 28027 | 2019-08-14 |
| 1578120218 | Philip Osborn | Dentist | 5408 Nc-49, Harrisburg, NC 28027 | 2019-05-28 |
| 1639648306 | Kristen Morris Spell | Counselor | 195 Lower Cape Dr Sw Apt 107, Concord, NC 28027 | 2018-11-25 |
| 1568959625 | Laurie Ford | Counselor | 705 Samuel Adams Cir Sw, Concord, NC 28027 | 2018-04-15 |
| 1598278194 | Autumn Nobles | Specialist/Technologist | 10193 Falling Leaf Dr Nw, Concord, NC 28027 | 2017-11-06 |
| 1386192938 | Brundasudha Satti IIi | Physical Therapist | 379 Sutoforest Dr Nw, Concord, NC 28027 | 2016-09-12 |
| 1467809616 | Kathryn Teal Watts | Dentist | 5305345 Vining St Nw, #201, Concord, NC 28027 | 2016-05-18 |
| 1720443849 | Denette Carte | Health Educator | 9712 Ravenscroft Lane Nw, Concord, NC 28027 | 2015-12-16 |
| Find all providers in zip 28027 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816616 | Erin Wilbanks | Dentist | 1000 Copperfield Blvd Ne Ste 160, Concord, NC 28025-2454 | 2020-09-18 |
| 1790301513 | Rishi Manish Bhusari | Dentist | 9 Triangle Park Dr # 3, Concord, NH 03301-5790 | 2020-06-17 |
| 1447806575 | Claire-ann E Papp | Dentist | 8815 Christenbury Parkway, Suite 40, Concord, NC 28027 | 2019-08-14 |
| 1013560739 | Louis Roncaglione | Dentist | 8815 Christenbury Pkway, Concord, NC 28207 | 2019-07-22 |
| 1295264042 | Chely Pressley | Dentist | 970 Branchview Dr Ne Ste 110, Concord, NC 28025-2238 | 2017-06-06 |
| 1952849408 | Shrijana Shakya | Dentist | 4232 Saint Paul Way, Apt 202, Concord, CA 94518-1892 | 2017-02-04 |
| 1114474392 | Yasaman Sani Dds Inc. | Dentist | 4125 Concord Blvd., Suite A, Concord, CA 94519 | 2016-09-06 |
| 1376900795 | Darren Ramsey | Dentist | 6137 Bayfield Pkwy, Concord, NC 28027-9998 | 2016-01-15 |
| 1609242346 | Melanie M Gaglioti | Dentist | 2955 Salvio St., Concord, CA 94519 | 2015-08-17 |
| 1245610724 | Stacey L Metty | Dentist | 8455 Pit Stop Ct Nw Ste 140, Concord, NC 28027-8291 | 2015-06-01 |
| Find all providers in CONCORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.