DR. CHARLES ADRIAN WHITE DDS MS MSD
NPI 1154496297
Dentist - Periodontics in Rogers, AR

Active since November 22, 2006Opted out of Medicare · through Nov 15, 2027
201 N 34TH, ROGERS, AR 72756(479) 631-6074(479) 936-8660 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Charles Adrian White Dds Ms Msd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHARLES ADRIAN WHITE DDS MS MSD (NPI 1154496297) is an individual periodontics provider in Rogers, Arkansas, licensed in Arkansas (AR2675) and active in the NPI registry since November 2006. He has opted out of Medicare through November 15, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1154496297
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. CHARLES ADRIAN WHITECredential: DDS MS MSD
Location Address201 N 34THRogers, AR 72756
Mailing Address201 N 34th StRogers, AR 72756 · (479) 631-6074 · Fax (479) 936-8660
Fax(479) 936-8660
Sole ProprietorNo
Enumeration DateNovember 22, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1154496297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in AR · AR2675
Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

201 N 34TH, Rogers, AR 72756

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Charles Adrian White Dds Ms Msd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 15, 2017 through November 15, 2027.

Opt-Out Effective DateNovember 15, 2017
Opt-Out In Effect ThroughNovember 15, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72756 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles White's NPI number?

The NPI number for Charles White is 1154496297. It was assigned to this individual provider in the NPPES registry on November 22, 2006.

Where is Charles White located?

Charles White practices at 201 N 34th, Rogers, AR 72756. The listed phone number is (479) 631-6074.

What is Charles White's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Charles White enrolled in Medicare?

No. Charles White has opted out of Medicare through November 15, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Charles White accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Charles White as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Charles White was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.