Individual provider Active NPI

Justin David White, DC

  • Chiropractor
  • Lees Summit, MO
National Provider Identifier
1437623733
Registry record updated Jan 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2019001365 Issued in MO
Practice address
338 SW Main St
Lees Summit, MO 64063-2340
Phone
(816) 600-5483
NPI assigned
Jan 20, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2019001365 MO Primary

Addresses

Primary practice location

338 SW Main St
Lees Summit, MO 64063-2340

Mailing address

10342 Goddard St Apt 159
Overland Park, KS 66214-3084
Phone (207) 931-8705

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190222001309 MO Practitioner - Chiropractic 7315286176 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunset Hills Family Chiropractic LLCGroup PAC ID 5395982342, 8 clinicians

Practice addresses (Care Compare)

4600 S Lindbergh Blvd
Suite 3
Saint Louis, MO 63127-1831
Phone (314) 729-0027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sunset Hills Family Chiropractic LLC Chiropractor CurrentSince Jun 14, 2025 Accepting new patients
Back on Track Eureka, LLC Chiropractor PastSince May 11, 2025 Accepting new patients
Cornerstone Chiropractic of Des Peres LLC Chiropractor PastSince Dec 28, 2022 Accepting new patients

Locations

4600 S Lindbergh Blvd
Ste 3
Saint Louis, MO 63127
Phone (314) 729-0027

Organizations & group practices 3

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": "1547942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547942400000",
    "number": "1437623733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10342 GODDARD ST APT 159",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662143084",
            "telephone_number": "207-931-8705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 SW MAIN ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640632340",
            "telephone_number": "816-600-5483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JUSTIN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-20",
        "last_updated": "2019-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2019001365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lees Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.