NPIMap

Organization Active NPI

Mark D. White D.C. P.a.

  • Chiropractor
  • Panama City, FL
National Provider Identifier
1104129444
Registry record updated Dec 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH5917 Issued in FL
Legal business name
MARK D. WHITE D.C. P.A.
Practice address
2427 Thomas Dr
Panama City, FL 32408-5808
Phone
(850) 234-2387
Fax
(850) 234-9686
NPI assigned
Dec 8, 2010
Last updated
Dec 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2010

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

Authorized official

Name
Dr. Mark D. White, D.C.NPI 1710080882
Title
Chiropractor
Phone
(850) 234-2387

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH5917 FL Primary

Addresses

Primary practice location

2427 Thomas Dr
Panama City, FL 32408-5808

Mailing address

2427 Thomas Dr
Panama City, FL 32408-5808
Phone (850) 234-2387

Other names 1

  • Beach Chiropractic Clinic Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291766400000",
    "number": "1104129444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2427 THOMAS DR",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324085808",
            "telephone_number": "850-234-2387",
            "fax_number": "850-234-9686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2427 THOMAS DR",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324085808",
            "telephone_number": "850-234-2387",
            "fax_number": "850-234-9686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK D. WHITE D.C. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-08",
        "last_updated": "2010-12-08",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "850-234-2387",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH5917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beach Chiropractic Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.