Individual provider Active NPI

Jeffrey S. White, D.C.

  • Chiropractor
  • Longview, TX
National Provider Identifier
1619985207
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10319 Issued in TX
Practice address
311 N High St
Suite B
Longview, TX 75601-6336
Phone
(903) 234-2886
Fax
(903) 234-2451
NPI assigned
Aug 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 10319 TX Primary

Addresses

Primary practice location

311 N High St
Suite B
Longview, TX 75601-6336

Mailing address

311 N High St
Suite B
Longview, TX 75601-6336
Phone (903) 234-2886

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

State licenses

LicenseStateTypeSpecialty
10319TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Health Waves of Ogden Chiropractor Past Accepting new patients
Acme Longview Chiropractic Chiropractor Past Accepting new patients
Blue Heron Health Centers Chiropractor PastSince Jun 28, 2006 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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619985207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 N HIGH ST",
            "address_2": "SUITE B",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756016336",
            "telephone_number": "903-234-2886",
            "fax_number": "903-234-2451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 N HIGH ST",
            "address_2": "SUITE B",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756016336",
            "telephone_number": "903-234-2886",
            "fax_number": "903-234-2451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JEFFREY",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.