Active NPI
David C. White, DO
- Emergency Medicine Physician
- West Union, IA
National Provider Identifier
1649350893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- DO-04856
- Practice address
- 112 Jefferson St
West Union, IA 52175 - Phone
- (563) 422-3811
- NPI assigned
- Oct 16, 2006
- Last updated
- Nov 9, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | DO-04856 | IA | Primary |
Addresses
Primary practice location
112 Jefferson St
West Union, IA 52175
Mailing address
7904 E Pittman Valley Rd
Williams, AZ 86046-9227
Phone (928) 890-9141
Other practice location 1
301 S 7th St
Williams, AZ 86046-2324
Phone (928) 635-4441
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649350893 | Medicaid | IA | |
| DO-04856 | Other | IA | IA STATE LICENSE |
| 005814 | Other | AZ | STATE LIC. |
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 Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Physicians of Albany County, PLLC | Emergency Medicine | Past | Accepting new patients |
| Emergency Care Specialists PC | Emergency Medicine | Past | Accepting new patients |
| Emergency Services, PA | Emergency Medicine | Past | Accepting new patients |
| Parallel Parkway Emergency Physicians, LLC | Emergency Medicine | Past | Accepting new patients |
| Wide Missouri Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
Interoperability endpoints
- dwhite222997@direct.emplifyhealth.org
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Grand Rapids, MI
- NPI 1093766958
-
- Emergency Medicine Physician
- Albany, NY
- NPI 1073552055
-
- Emergency Medicine Physician
- Wichita, KS
- NPI 1629028881
-
- Emergency Medicine Physician
- Kansas City, KS
- NPI 1629351457
-
- Emergency Medicine Physician
- Leavenworth, KS
- NPI 1912280744
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541721600000",
"number": "1649350893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7904 E PITTMAN VALLEY RD",
"city": "WILLIAMS",
"state": "AZ",
"postal_code": "860469227",
"telephone_number": "928-890-9141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 JEFFERSON ST",
"city": "WEST UNION",
"state": "IA",
"postal_code": "52175",
"telephone_number": "563-422-3811"
}
],
"practiceLocations": [
{
"address_1": "301 S 7th St",
"address_purpose": "LOCATION",
"city": "Williams",
"state": "AZ",
"postal_code": "860462324",
"country_code": "US",
"telephone_number": "928-635-4441",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITE",
"first_name": "DAVID",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2018-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IA",
"license": "DO-04856",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1649350893",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IA STATE LICENSE",
"identifier": "DO-04856",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LIC.",
"identifier": "005814",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Union, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.