Judson White, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA1741 Issued in ID

Practice address

1520 E Heritage Park St Ste 150
Meridian, ID 83646-6837

Phone

(208) 895-2600

Fax

(208) 895-2700

NPI assigned

Jan 9, 2017

Last updated

May 7, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Chiropractic

Education

Western States College of Chiropractic, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• White Brothers Investments PLLC

  dba Pain Relief Chiropractic & Massage

  • Chiropractor
  • Meridian, ID
  • NPI 1598281321
  Medicare reassignment NPD Authorized official
• Pierce Physical Therapy and Sports Rehab LLC

  • Physical Therapist
  • Meridian, ID
  • NPI 1578076519
  NPD (past)

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

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651881600000",
    "number": "1467998807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 E HERITAGE PARK ST STE 150",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836466837",
            "telephone_number": "208-895-2600",
            "fax_number": "208-895-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 E HERITAGE PARK ST STE 150",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836466837",
            "telephone_number": "208-895-2600",
            "fax_number": "208-895-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JUDSON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-09",
        "last_updated": "2022-05-07",
        "certification_date": "2022-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA1741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20012413",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aaron B White, RN
• Barbara Ann White, M.D.
• Cassandra White, M.D.
• Colton Dean White, DC
• Jamie White
• Kevin White, PHARMD
• Sharla White, MS, CCC-SLP
• Wendy White, LPC
• Kelly R Whitehead-Price, NP-C
• Kaela Grace Whitehead, LCSW

• Chiropractor in Meridian, ID
• Providers in Meridian, ID by specialty
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2022; 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.