Active NPI
Mary Jo White, D.C.
- Chiropractor
- Post Falls, ID
National Provider Identifier
1396870440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIA-713
- Practice address
- 810 N Henry St Ste 390
Post Falls, ID 83854-7665 - Phone
- (208) 777-2884
- Fax
- (208) 777-0277
- NPI assigned
- Feb 22, 2007
- 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 | CHIA-713 | ID | Primary |
Addresses
Primary practice location
810 N Henry St Ste 390
Post Falls, ID 83854-7665
Mailing address
810 N Henry St
Ste 390
Post Falls, ID 83854-7665
Phone (208) 777-2884
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
810 N Henry St
Suite 390
Post Falls, ID 83854-7665
Phone (208) 777-2884
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Jo White Dcpa | Chiropractor | Current | Accepting new patients |
Locations
810 N Henry St
Ste 390
Post Falls, ID 83854
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.
-
- Chiropractor
- Post Falls, ID
- NPI 1194975250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610668800000",
"number": "1396870440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "810 N HENRY ST",
"address_2": "STE 390",
"city": "POST FALLS",
"state": "ID",
"postal_code": "838547665",
"telephone_number": "208-777-2884",
"fax_number": "208-777-0277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 N HENRY ST STE 390",
"city": "POST FALLS",
"state": "ID",
"postal_code": "838547665",
"telephone_number": "208-777-2884",
"fax_number": "208-777-0277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "MARY",
"middle_name": "JO",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-22",
"last_updated": "2021-01-15",
"certification_date": "2021-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ID",
"license": "CHIA-713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Post Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; 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.