Individual provider Active NPI

Monique G White, D.C.

  • Chiropractor
  • Columbia, MO
National Provider Identifier
1568828564
Registry record updated Jan 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2015044740 Issued in MO
Practice address
1511 Chapel Hill Rd
Columbia, MO 65203-5452
Phone
(573) 446-2242
Fax
(573) 446-5575
NPI assigned
Jan 6, 2016
Last updated
Jan 6, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2015044740 MO Primary

Addresses

Primary practice location

1511 Chapel Hill Rd
Columbia, MO 65203-5452

Mailing address

1511 Chapel Hill Rd
Columbia, MO 65203-5452
Phone (573) 446-2242

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160128001254 MO Practitioner - Chiropractic 0941503718 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Physical Health PCGroup PAC ID 2466611678, 3 clinicians

Practice addresses (Care Compare)

1511 Chapel Hill Rd
Columbia, MO 65203-5475
Phone (573) 446-2242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Innate Health and Wellness Chiropractor CurrentSince Sep 1, 2026 Accepting new patients

Locations

1511 Chapel Hill Rd
Columbia, MO 65203
Phone (573) 446-2242

1511 Chapel Hill Rd
Ste 200
Columbia, MO 65203

1511 Chapel Hill Rd
Uppr
Columbia, MO 65203

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452038400000",
    "number": "1568828564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 CHAPEL HILL RD",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652035452",
            "telephone_number": "573-446-2242",
            "fax_number": "573-446-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 CHAPEL HILL RD",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652035452",
            "telephone_number": "573-446-2242",
            "fax_number": "573-446-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "MONIQUE",
        "middle_name": "G",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-06",
        "last_updated": "2016-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2015044740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; 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.