Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jake Arthur Whiteside

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1790480200

Jake Arthur Whiteside is a Student in an Organized Health Care Education/Training Program in Dayton, Ohio. Licensed in Indiana. Registered with an NPI since 2023.

Licensed in
IN
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

30 E Apple St Ste 6258
Dayton, OH 45409-2939
Phone: (937) 208-2951
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 01096565A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1790480200
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 3, 2023
Last updated in NPPESFebruary 2, 2026
Certification dateFebruary 2, 2026
Mailing address30 E Apple St Ste 6258, Dayton, OH 45409-2939

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