Alfred Johnnie White

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Practice address

6652 W Fuqua Dr
Missouri City, TX 77489-3529

Phone

(337) 499-0240

NPI assigned

Jun 13, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Abling Advocate of America LLC

  • Adult Mental Health Clinic/Center
  • Missouri City, TX
  • NPI 1588557482
  NPD Authorized official

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

{
    "created_epoch": "1686614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1689358335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6652 W FUQUA DR",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774893529",
            "telephone_number": "337-499-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6652 W FUQUA DR",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774893529",
            "telephone_number": "337-499-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "ALFRED",
        "middle_name": "JOHNNIE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-13",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wellcare Senior Center LLC
• West Coast Surgical, LTD
• Mozelle M West
• White Smiles Dental PLLC
• White Smiles Orthodontics PC
• Bridgette Lea White, BCBA
• Janeana Marie White, MD
• Candace Whiteside, DC
• Carman H Whiting, M.D.
• Ashley Whitley, LMFT

• Adult Care Home Facility in Missouri City, TX
• Providers in Missouri City, TX by specialty
• Adult Care Home Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.