Organization Active NPI

White Chiropractic Health Care, PLLC

  • Chiropractor
  • Caro, MI
National Provider Identifier
1447455092
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301300303 Issued in MI
Legal business name
WHITE CHIROPRACTIC HEALTH CARE, PLLC
Practice address
1120 Cleaver Rd
Caro, MI 48723-1105
Phone
(989) 673-4241
Fax
(989) 673-4240
NPI assigned
Jun 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Authorized official

Name
Dr. Mark Owen White, DCNPI 1346242633
Title
Member
Phone
(989) 673-4241

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301300303 MI Primary

Addresses

Primary practice location

1120 Cleaver Rd
Caro, MI 48723-1105

Mailing address

PO Box 298
1120 Cleaver Rd
Caro, MI 48723-0298
Phone (989) 673-4241

Other identifiers 1

IdentifierTypeStateIssuer
0N84770OtherMEDICARE PLUS BLUE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040329001354 MI Part B Supplier - Clinic/Group Practice 2466344833 Receives reassigned benefits from 1 practitioner
Practice locations: Caro, MI

National Provider Directory

National Provider Directory

Locations

1120 Cleaver Rd
Caro, MI 48723
Phone (989) 673-4241

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1447455092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 298",
            "address_2": "1120 CLEAVER RD",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487230298",
            "telephone_number": "989-673-4241",
            "fax_number": "989-673-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 CLEAVER RD",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487231105",
            "telephone_number": "989-673-4241",
            "fax_number": "989-673-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE CHIROPRACTIC HEALTH CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "OWEN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "989-673-4241",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301300303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PLUS BLUE",
            "identifier": "0N84770",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caro, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.

Verify at the official NPI Registry.