Organization Active NPI

Dr. Cully R. White, Neurosurgery & Spine, SC

  • Non-Pharmacy Dispensing Site
  • Milwaukee, WI
National Provider Identifier
1255692562
Registry record updated Feb 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
DR. CULLY R. WHITE, NEUROSURGERY & SPINE, SC
Practice address
2901 W Kinnickinnic River Pkwy
Suite 201
Milwaukee, WI 53215-3677
Phone
(414) 649-3904
NPI assigned
Jun 4, 2012
Last updated
Feb 8, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
DR. CULLY R. WHITE, NEUROSURGERY & SPINE, SCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 8, 2013

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

Authorized official

Name
Dr. Cully R. White, DONPI 1013093178
Title
Owner
Phone
(414) 649-3232

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X NU Primary

Addresses

Primary practice location

2901 W Kinnickinnic River Pkwy
Suite 201
Milwaukee, WI 53215-3677

Mailing address

2980 N Beverly Glen Cir
Suite 301
Los Angeles, CA 90077-1726
Phone (310) 474-9809

National Provider Directory

National Provider Directory
Part of
Dr Cully White Neuro

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360281600000",
    "number": "1255692562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "SUITE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-474-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 W KINNICKINNIC RIVER PKWY",
            "address_2": "SUITE 201",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532153677",
            "telephone_number": "414-649-3904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. CULLY R. WHITE, NEUROSURGERY & SPINE, SC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DR. CULLY R. WHITE, NEUROSURGERY & SPINE, SC",
        "enumeration_date": "2012-06-04",
        "last_updated": "2013-02-08",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "CULLY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-649-3232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2013; 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.