Active NPI
Candace Whiteside, DC
- Chiropractor
- Missouri City, TX
National Provider Identifier
1376040196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 13558
- Practice address
- 5425 Highway 6 Ste A300
Missouri City, TX 77459-4392 - Phone
- (281) 969-8059
- NPI assigned
- Apr 9, 2018
- Last updated
- Apr 9, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 13558 | TX | Primary |
Addresses
Primary practice location
5425 Highway 6 Ste A300
Missouri City, TX 77459-4392
Mailing address
12934 Regal Oaks Bend LN
Houston, TX 77047-4454
Phone (512) 429-0545
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13558 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Essentials Chiropractic, LLC | Chiropractor | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Missouri City, TX
- NPI 1811274467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523232000000",
"number": "1376040196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12934 REGAL OAKS BEND LN",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770474454",
"telephone_number": "512-429-0545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5425 HIGHWAY 6 STE A300",
"city": "MISSOURI CITY",
"state": "TX",
"postal_code": "774594392",
"telephone_number": "281-969-8059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITESIDE",
"first_name": "CANDACE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-09",
"last_updated": "2018-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "13558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Missouri City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.