Active NPI
Anthony Ricardo White, D.C.
- Chiropractor
- Kennesaw, GA
National Provider Identifier
1003937400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR007626
- Practice address
- 1815 Old 41 Hwy NW Ste 370
Kennesaw, GA 30152-4429 - Phone
- (770) 575-3103
- NPI assigned
- Apr 3, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR007626 | GA | Primary |
Addresses
Primary practice location
1815 Old 41 Hwy NW Ste 370
Kennesaw, GA 30152-4429
Mailing address
1815 Old 41 Hwy NW Ste 370
Kennesaw, GA 30152-4429
Phone (770) 575-3103
Other practice location 1
55 E Paulding Dr
Suite 146
Dallas, GA 30157-7191
Phone (678) 383-8188
Other practice location 2
5041 Dallas Hwy Ste 500
Powder Springs, GA 30127-6458
Phone (770) 919-7171
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9344506 | Other | GA | PHCS |
| 665387 | Other | GA | UNITED HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR007626 | GA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paulding County Chiropractic | Chiropractor | Current | Accepting new patients |
| West Cobb Chiropractic | Chiropractor | Past | Accepting new patients |
Locations
55 E Paulding Dr
Ste 146
Dallas, GA 30157
Phone (678) 383-8188
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Dallas, GA
- NPI 1932373974
-
- Chiropractor
- Powder Springs, GA
- NPI 1790043727
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1003937400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1815 OLD 41 HWY NW STE 370",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301524429",
"telephone_number": "770-575-3103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1815 OLD 41 HWY NW STE 370",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301524429",
"telephone_number": "770-575-3103"
}
],
"practiceLocations": [
{
"address_1": "55 E Paulding Dr",
"address_2": "Suite 146",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "GA",
"postal_code": "301577191",
"country_code": "US",
"telephone_number": "678-383-8188",
"fax_number": "678-383-8035",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5041 Dallas Hwy Ste 500",
"address_purpose": "LOCATION",
"city": "Powder Springs",
"state": "GA",
"postal_code": "301276458",
"country_code": "US",
"telephone_number": "770-919-7171",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITE",
"first_name": "ANTHONY",
"middle_name": "RICARDO",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-03",
"last_updated": "2022-07-21",
"certification_date": "2021-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR007626",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "9344506",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "665387",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kennesaw, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.