Individual provider Active NPI

Megan Nicole White, D.C.

  • Chiropractor
  • Beloit, WI
National Provider Identifier
1023587672
Registry record updated Nov 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5410-12 Issued in WI
Practice address
3535 Clinic Rd
Beloit, WI 53511-1997
Phone
(608) 365-1656
Fax
(608) 365-2250
NPI assigned
Nov 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5410-12 WI Primary

Addresses

Primary practice location

3535 Clinic Rd
Beloit, WI 53511-1997

Mailing address

3535 Clinic Rd
Beloit, WI 53511-1997
Phone (608) 365-1656

Other names 1

  • Megan Nicole White Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181206000960 WI Practitioner - Chiropractic 6406190156 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Van Roo Family Chiropractic LLCGroup PAC ID 9638492366, 3 clinicians

Practice addresses (Care Compare)

1711 Holiday Dr
Suite 100
Janesville, WI 53545-0745
Phone (608) 756-5225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gonstead Chiropractic Clinic SC Chiropractor CurrentSince Nov 15, 2018 Accepting new patients

Locations

3535 Clinic Rd
Beloit, WI 53511
Phone (608) 365-1656

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1542067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542067200000",
    "number": "1023587672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 CLINIC RD",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535111997",
            "telephone_number": "608-365-1656",
            "fax_number": "608-365-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 CLINIC RD",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535111997",
            "telephone_number": "608-365-1656",
            "fax_number": "608-365-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "MEGAN",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-13",
        "last_updated": "2018-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5410-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "WHITE",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beloit, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.