Active NPI
Elvin L White, D.C.
- Nutrition Chiropractor
- Colorado Springs, CO
National Provider Identifier
1104983857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- 1974
- Practice address
- 824 E Fillmore St
Colorado Springs, CO 80907-6375 - Phone
- (719) 634-2579
- Fax
- (719) 634-2371
- NPI assigned
- Jan 2, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | 1974 | CO | Primary |
Addresses
Primary practice location
824 E Fillmore St
Colorado Springs, CO 80907-6375
Mailing address
824 E Fillmore St
Colorado Springs, CO 80907-6375
Phone (719) 634-2579
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 |
|---|---|---|---|
| 1974 | CO | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203465600000",
"number": "1104983857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "824 E FILLMORE ST",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809076375",
"telephone_number": "719-634-2579",
"fax_number": "719-634-2371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "824 E FILLMORE ST",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809076375",
"telephone_number": "719-634-2579",
"fax_number": "719-634-2371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "ELVIN",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-02",
"last_updated": "2008-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "CO",
"license": "1974",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.