Individual provider Active NPI

James W White Jr., D.C.

  • Radiology Chiropractor
  • Flint, MI
National Provider Identifier
1356413033
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology ChiropractorTaxonomy code 111NR0200X
License
2301004936 Issued in MI
Practice address
6070 Fenton Rd
Suite 5
Flint, MI 48507-4747
Phone
(810) 232-0670
Fax
(810) 232-0671
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Chiropractor 111NR0200X 2301004936 MI Primary

Addresses

Primary practice location

6070 Fenton Rd
Suite 5
Flint, MI 48507-4747

Mailing address

6070 Fenton Rd
Suite 5
Flint, MI 48507-4747
Phone (810) 232-0670

Other identifiers 1

IdentifierTypeStateIssuer
4433342MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070403000443 MI Practitioner - Chiropractic 0749384568 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6070 Fenton Rd
Suite 5
Flint, MI 48507-4747
Phone (810) 232-0670

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301004936MIMDRadiology Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
White Chiropractic Clinic P.C. Chiropractor CurrentSince Apr 5, 2007 Accepting new patients

Locations

6070 Fenton Rd
Ste 5
Flint, MI 48507
Phone (810) 232-0670

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1356413033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6070 FENTON RD",
            "address_2": "SUITE 5",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485074747",
            "telephone_number": "810-232-0670",
            "fax_number": "810-232-0671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6070 FENTON RD",
            "address_2": "SUITE 5",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485074747",
            "telephone_number": "810-232-0670",
            "fax_number": "810-232-0671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JAMES",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0200X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Radiology",
            "state": "MI",
            "license": "2301004936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4433342",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; 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.