JESSE WHITELY DDS, INC (NPI# 1972081545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972081545 |
| Entity Type | Organization |
| Organization Name | JESSE WHITELY DDS, INC |
| Practice Address |
185 Palm Ave Auburn CA 95603-3711 |
| Practice Telephone | 5308856559 |
| Practice Fax Number | 5308854142 |
| Mailing Telephone | 5308856559 |
| Mailing Fax Number | 5308854142 |
| Enumeration Date | 2018-08-05 |
| Last Update Date | 2020-04-08 |
| Authorized Official Name | DR. JESSE RYAN WHITELY (PRESIDENT) |
| Authorized Official Telephone | 5308856559 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
59369 | CA | Ambulatory Health Care Facilities |
| Street Address |
185 PALM AVE |
| City | AUBURN |
| State | CA |
| Zip Code | 95603-3711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417065293 | Paul Russel Kodet | Dentist | 185 Palm Ave, Auburn, CA 95603-3711 | 2006-08-29 |
| 1720391162 | Jesse R Whitely | Dentist | 185 Palm Ave, Auburn, CA 95603 | 2010-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487271508 | James Robert Thornton | Social Worker | 398 Rhoes View Dr, Auburn, CA 95603 | 2020-07-06 |
| 1437713674 | June Meja Razzano | Psychoanalyst | 265 Nevada Station, Auburn, CA 95603 | 2019-04-23 |
| 1689175366 | Georgia Lee Bates | Speech-Language Pathologist | 2145 Bell Road, 215, Auburn, CA 95603 | 2018-02-27 |
| 1811406085 | Veronica Evette Magana | Specialist | 11485 C Ave, Auburn, CA 95603 | 2017-09-20 |
| 1043733777 | Ken Rescate | Physical Therapist | 2145 Bell Road, #215, Auburn, CA 95603 | 2017-07-25 |
| 1730534975 | Juanita Carey | Counselor | 1190 Heritage Oak Place, Auburn, CA 95603 | 2016-04-25 |
| 1255747010 | Cara Wilber | Marriage & Family Therapist | 11512 B Avenure, Auburn, CA 95603 | 2014-07-01 |
| 1538572094 | Mark Garrison | Pharmacist | 13386 Lincoln Way, Auburn, CA 95603 | 2014-06-03 |
| 1427460583 | Tessa Jacques | Marriage & Family Therapist | 263 Nevada Station, Auburn, CA 95603 | 2014-05-23 |
| 1629497359 | Elisabeth Ann Neubert-cook | Registered Nurse | 11484 B. Avenue, Auburn, CA 95603 | 2014-04-09 |
| Find all providers in zip 95603 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689295339 | Liles Family Dentistry, LLC | Clinic/Center | 2234 Ogletree Village Ln, Auburn, AL 36830-2967 | 2020-05-05 |
| 1376175190 | Eid, Jaber, Jassar, Pllc | Clinic/Center | 4018 A St Se, Auburn, WA 98002-3858 | 2020-02-10 |
| 1568934313 | 42 North Dental Care Pllc | Clinic/Center | 1 Willow Run Unit 1b, Auburn, ME 04210-8501 | 2018-12-18 |
| 1386121473 | Joshua D Mathis Dds LLC | Clinic/Center | 2311 Bent Creek Rd., Ste 500, Auburn, AL 36830 | 2018-07-23 |
| 1699273938 | Auburn Dental Care | Clinic/Center | 1102 Outlet Collection Way Sw Ste 101, Auburn, WA 98001-6574 | 2018-01-31 |
| 1083138416 | Raymond L. Bolt, Dmd PC | Clinic/Center | 1550 Opelika Rd Ste 6-167, Auburn, AL 36830-7618 | 2017-07-27 |
| 1124459896 | Bridget Reilly | Clinic/Center | 210 South Hoopes Ave, Auburn, NY 13021 | 2013-12-06 |
| 1437423928 | Polsky Dds &virk Dmd Ms Ps | Clinic/Center | 1002 15th St Sw, Suite 215, Auburn, WA 98001-6502 | 2012-02-29 |
| 1053934273 | Matthew Harris Dmd Professional Corporation | Clinic/Center | 11010 Combie Rd Ste 208, Auburn, CA 95602-8948 | 2020-05-21 |
| 1861030983 | Steve Keejin Hwang Dds Pllc | Clinic/Center | 701 M St Ne Ste 104, Auburn, WA 98002-4500 | 2019-12-19 |
| Find all providers in AUBURN | ||||
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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.