Active NPI
Don White RN DC PC
- Chiropractor
- Beaverton, OR
National Provider Identifier
1689892655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 272659
- Legal business name
- DON WHITE RN DC PC
- Doing business as
- Canyon Road Chiropractic & Massage
- Practice address
- 12850 SW Canyon Rd
Beaverton, OR 97005-2166 - Phone
- (503) 641-8000
- Fax
- (503) 520-9159
- NPI assigned
- Apr 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Donald Ray White Jr., R.N., D.C.
- Title
- Chiropractor
- Phone
- (503) 641-8000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 272659 | OR | Primary |
Addresses
Primary practice location
12850 SW Canyon Rd
Beaverton, OR 97005-2166
Mailing address
12850 SW Canyon Rd
Beaverton, OR 97005-2166
Phone (503) 641-8000
Other names 1
- Canyon Road Chiropractic & Massage
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Beaverton, OR
- NPI 1912951534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1689892655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12850 SW CANYON RD",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970052166",
"telephone_number": "503-641-8000",
"fax_number": "503-520-9159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12850 SW CANYON RD",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970052166",
"telephone_number": "503-641-8000",
"fax_number": "503-520-9159"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DON WHITE RN DC PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-23",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WHITE",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "RAY",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "503-641-8000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "R.N., D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "OR",
"license": "272659",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Canyon Road Chiropractic & Massage",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.