Active NPI
Mary E White, D.C.
- Chiropractor
- Round Rock, TX
National Provider Identifier
1053303628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 8878
- Practice address
- 206A Laurel Dr
Round Rock, TX 78664-4202 - Phone
- (512) 248-8700
- Fax
- (512) 248-8801
- NPI assigned
- Aug 18, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 | 8878 | TX | Primary |
Addresses
Primary practice location
206A Laurel Dr
Round Rock, TX 78664-4202
Mailing address
206A Laurel Dr
Round Rock, TX 78664-4202
Phone (512) 248-8700
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1434227-01 | Medicaid | TX | |
| 606255 | Other | TX | BCBS NUMBER |
| 8878 | Other | TX | STATE LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040412001304 | TX | Practitioner - Chiropractic | 1254325335 | Practice locations: Round Rock, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
206 A Laurel Dr
Round Rock, TX 78664-4202
Phone (512) 248-8700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8878 | TX | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410220800000",
"number": "1053303628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206A LAUREL DR",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786644202",
"telephone_number": "512-248-8700",
"fax_number": "512-248-8801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206A LAUREL DR",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786644202",
"telephone_number": "512-248-8700",
"fax_number": "512-248-8801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "MARY",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-08-18",
"last_updated": "2014-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "8878",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1434227-01",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NUMBER",
"identifier": "606255",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "8878",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; 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.