Individual provider Active NPI

Roger W. White, D.C.

  • Chiropractor
  • Murfreesboro, TN
National Provider Identifier
1275553992
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC0000001289 Issued in TN
Practice address
325 Saint Andrews Dr
Murfreesboro, TN 37128-6517
Phone
(615) 907-6020
Fax
(615) 907-6029
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC0000001289 TN Primary
Chiropractor 111N00000X 0104001545 VA
Chiropractor 111N00000X 005611 GA

Addresses

Primary practice location

325 Saint Andrews Dr
Murfreesboro, TN 37128-6517

Mailing address

325 Saint Andrews Dr
Murfreesboro, TN 37128-6517
Phone (615) 907-6020

Other identifiers 1

IdentifierTypeStateIssuer
56240OtherTNNATL BD OF CHIRO EXAMINER

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

LicenseStateTypeSpecialty
DC0000001289TNMDChiropractor
0104001545VAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214438400000",
    "number": "1275553992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 SAINT ANDREWS DR",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371286517",
            "telephone_number": "615-907-6020",
            "fax_number": "615-907-6029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 SAINT ANDREWS DR",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371286517",
            "telephone_number": "615-907-6020",
            "fax_number": "615-907-6029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "ROGER",
        "middle_name": "W.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2008-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC0000001289",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001545",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "005611",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATL BD OF CHIRO EXAMINER",
            "identifier": "56240",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.

Verify at the official NPI Registry.