Individual provider Active NPI

Debra L White, D.C.

  • Chiropractor
  • Nacogdoches, TX
National Provider Identifier
1508876244
Registry record updated May 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5020 Issued in TX
Practice address
1602 E Starr Ave
201
Nacogdoches, TX 75961-4312
Phone
(936) 559-1346
Fax
(936) 560-0854
NPI assigned
Aug 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5020 TX Primary

Addresses

Primary practice location

1602 E Starr Ave
201
Nacogdoches, TX 75961-4312

Mailing address

1602 E Starr Ave
Nacogdoches, TX 75961-4312
Phone (936) 559-1346

Other identifiers 1

IdentifierTypeStateIssuer
001454001MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061227000352 TX Practitioner - Chiropractic 6406856327 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Nacogdoches, TX

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1602 E Starr Ave
Suite 201
Nacogdoches, TX 75961-4312
Phone (936) 560-5441

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5020TXMDNutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Chiropractic Center LLC Chiropractor CurrentSince Dec 18, 2025 Accepting new patients

Locations

1602 E Starr Ave
Ste 201
Nacogdoches, TX 75961
Phone (936) 560-5441

Practitioners & affiliated clinicians

Practitioners 1

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210636800000",
    "number": "1508876244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 E STARR AVE",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614312",
            "telephone_number": "936-559-1346",
            "fax_number": "936-560-0854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 E STARR AVE",
            "address_2": "201",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614312",
            "telephone_number": "936-559-1346",
            "fax_number": "936-560-0854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "DEBRA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2008-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "5020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001454001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nacogdoches, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; 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.