Active NPI
Rick Charles White, DC
- Chiropractor
- North Bend, OR
National Provider Identifier
1174699680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3170
- Practice address
- 1611 Virginia Ave
Ste 117
North Bend, OR 97459 - Phone
- (541) 808-9285
- Fax
- (541) 808-9287
- NPI assigned
- Nov 27, 2006
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3170 | OR | Primary |
Addresses
Primary practice location
1611 Virginia Ave
Ste 117
North Bend, OR 97459
Mailing address
1611 Virginia Ave
Box #414
North Bend, OR 97459
Phone (541) 808-9285
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174699680 | Other | OR | NPI |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491782400000",
"number": "1174699680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1611 VIRGINIA AVE",
"address_2": "BOX #414",
"city": "NORTH BEND",
"state": "OR",
"postal_code": "97459",
"telephone_number": "541-808-9285",
"fax_number": "541-808-9287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1611 VIRGINIA AVE",
"address_2": "STE 117",
"city": "NORTH BEND",
"state": "OR",
"postal_code": "97459",
"telephone_number": "541-808-9285",
"fax_number": "541-808-9287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "RICK",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-27",
"last_updated": "2017-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "3170",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1174699680",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.