Fred White, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Practice address

209 W 10TH St
Metropolis, IL 62960-1503

Phone

(618) 524-2001

NPI assigned

Oct 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188259200000",
    "number": "1194809533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 W 10TH ST",
            "city": "METROPOLIS",
            "state": "IL",
            "postal_code": "629601503",
            "telephone_number": "618-524-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W 10TH ST",
            "city": "METROPOLIS",
            "state": "IL",
            "postal_code": "629601503",
            "telephone_number": "618-524-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "FRED",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oakley Autumn Warren
• Jeffrey Webb, L.C.P.C.
• Sheila Werner, BS
• Debra Diane Wessel
• Stacey Westbrooks
• Randy Ray Wientjes, C.R.N.A.
• Roberta Susan Williams, LCPC
• Mallory Renee Wittig, FNP
• Blake M Woods, DNP, APN, AGNP-C
• Jessica Jean Wright, APRN

• Chiropractor in Metropolis, IL
• Providers in Metropolis, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; 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.