Active NPI
White Chiropractic Inc.
Doing business as 180 Chiropractic
- Chiropractor
- Redlands, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 31680
- Legal business name
- WHITE CHIROPRACTIC INC.
- Doing business as
- 180 Chiropractic
- Practice address
- 1150 Brookside Ave
Suite J5
Redlands, CA 92373-6300 - Phone
- (909) 793-5226
- Fax
- (909) 793-2787
- NPI assigned
- Jun 22, 2011
- Last updated
- Jun 18, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Micah Ryan White, D.C.
- Title
- Ceo/President
- Phone
- (909) 793-5226
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 31680 | CA | Primary |
Addresses
Primary practice location
1150 Brookside Ave
Suite J5
Redlands, CA 92373-6300
Mailing address
1150 Brookside Ave
Suite J5
Redlands, CA 92373-6300
Phone (909) 793-5226
Other names 1
- 180 Chiropractic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1150 Brookside Ave
Ste J5
Redlands, CA 92373
Phone (909) 793-5226
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Chiropractor
- Redlands, CA
- NPI 1548562762
-
- Orthotist
- Redlands, CA
- NPI 1356645386
-
- Chiropractor
- Redlands, CA
- NPI 1144323940
-
- Chiropractor
- Redlands, CA
- NPI 1568565398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308700800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1371513600000",
"number": "1316233802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 BROOKSIDE AVE",
"address_2": "SUITE J5",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923736300",
"telephone_number": "909-793-5226",
"fax_number": "909-793-2787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 BROOKSIDE AVE",
"address_2": "SUITE J5",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923736300",
"telephone_number": "909-793-5226",
"fax_number": "909-793-2787"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHITE CHIROPRACTIC INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-22",
"last_updated": "2013-06-18",
"status": "A",
"authorized_official_last_name": "WHITE",
"authorized_official_first_name": "MICAH",
"authorized_official_middle_name": "RYAN",
"authorized_official_title_or_position": "CEO/PRESIDENT",
"authorized_official_telephone_number": "909-793-5226",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CA",
"license": "31680",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "180 Chiropractic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.