Individual provider Active NPI

Jennifer Nicole White, MD

  • Addiction Medicine (Family Medicine) Physician
  • Dayton, OH
National Provider Identifier
1609995273
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
35091769 Issued in OH
Practice address
7301 Poe Ave
Dayton, OH 45414-2559
Phone
(937) 280-4631
Fax
(937) 280-4630
NPI assigned
Mar 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X 35091769 OH Primary

Addresses

Primary practice location

7301 Poe Ave
Dayton, OH 45414-2559

Mailing address

7301 Poe Ave
Dayton, OH 45414-2559
Phone (937) 280-4631

Other practice location 1

287 E Leffel Ln
Springfield, OH 45505-4745
Phone (937) 342-3041

Other identifiers 2

IdentifierTypeStateIssuer
2861121MedicaidOH
7100103790MedicaidKY

Other names 1

  • Jennifer Nicole Manning Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35091769OHMDAddiction Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Treatment Centers Oh -Xvii PastSince Oct 17, 2021 Accepting new patients
Christ Hospital Medical Specialists LLC Past Accepting new patients
Pinnacle Treatment Centers Oh-V, LLC PastSince Nov 24, 2025 Accepting new patients

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": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1609995273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 POE AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454142559",
            "telephone_number": "937-280-4631",
            "fax_number": "937-280-4630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 POE AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454142559",
            "telephone_number": "937-280-4631",
            "fax_number": "937-280-4630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "287 E Leffel Ln",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OH",
            "postal_code": "455054745",
            "country_code": "US",
            "telephone_number": "937-342-3041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JENNIFER",
        "middle_name": "NICOLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "OH",
            "license": "35091769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2861121",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100103790",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MANNING",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.