Active NPI
Zachary Thomas White, DPM
- Podiatrist
- Warrenton, MO
National Provider Identifier
1104501998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 2026030567
- Practice address
- 18800 Schnucks Dr
Warrenton, MO 63383-1120 - Phone
- (636) 462-6106
- Fax
- (636) 462-7904
- NPI assigned
- Jun 19, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 2026030567 | MO | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | MO |
Addresses
Primary practice location
18800 Schnucks Dr
Warrenton, MO 63383-1120
Mailing address
668 Applewood Dr
Kirkwood, MO 63122-2502
Phone (314) 413-4116
Other practice location 1
12303 De Paul Dr
Bridgeton, MO 63044-2512
Phone (314) 344-6000
Other practice location 2
1015 Bowles Ave
Fenton, MO 63026-2394
Phone (637) 496-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787702400000",
"number": "1104501998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "668 APPLEWOOD DR",
"city": "KIRKWOOD",
"state": "MO",
"postal_code": "631222502",
"telephone_number": "314-413-4116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18800 SCHNUCKS DR",
"city": "WARRENTON",
"state": "MO",
"postal_code": "633831120",
"telephone_number": "636-462-6106",
"fax_number": "636-462-7904"
}
],
"practiceLocations": [
{
"address_1": "12303 De Paul Dr",
"address_purpose": "LOCATION",
"city": "Bridgeton",
"state": "MO",
"postal_code": "630442512",
"country_code": "US",
"telephone_number": "314-344-6000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1015 Bowles Ave",
"address_purpose": "LOCATION",
"city": "Fenton",
"state": "MO",
"postal_code": "630262394",
"country_code": "US",
"telephone_number": "637-496-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITE",
"first_name": "ZACHARY",
"middle_name": "THOMAS",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-19",
"last_updated": "2026-08-26",
"certification_date": "2026-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MO",
"license": "2026030567",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MO",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warrenton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.