Scott C White, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA1111 Issued in ID

Practice address

1096 Erikson Dr
Rexburg, ID 83440-5297

Phone

(208) 656-3205

Fax

(208) 656-3206

NPI assigned

Jul 28, 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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• White Chiropractic Clinic PLLC

  • Chiropractor
  • Rexburg, ID
  • NPI 1922236694
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354147200000",
    "number": "1205840832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834400743",
            "telephone_number": "208-359-8265",
            "fax_number": "208-656-3206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1096 ERIKSON DR",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834405297",
            "telephone_number": "208-656-3205",
            "fax_number": "208-656-3206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "SCOTT",
        "middle_name": "C",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2012-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA1111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000010149474",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "C4439",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M8070907",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wheeler Insurance Agency
• Regina Whelan
• White Chiropractic Clinic PLLC
• White Pine Ventures
• Ambrya Ande White, LCSW
• Adriann J Wilcox, FNP
• Genevieve Marie Wilkerson Hansen
• Scott Edmond Wilkes, D.D.S.
• William Stout Dental PLLC
• Cady Williams, PHD

• Chiropractor in Rexburg, ID
• Providers in Rexburg, ID by specialty
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.