Active NPI
Prescott James White, DC
- Chiropractor
- Fitchburg, MA
National Provider Identifier
1699811000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2552
- Practice address
- 558 Electric Ave
Fitchburg, MA 01420-5370 - Phone
- (978) 343-9592
- Fax
- (978) 343-9054
- NPI assigned
- Jan 30, 2007
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2552 | MA | Primary |
Addresses
Primary practice location
558 Electric Ave
Fitchburg, MA 01420-5370
Mailing address
558 Electric Ave
Fitchburg, MA 01402
Phone (978) 343-9592
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2503513 | Other | MA | AETNA |
| 352484 | Other | MA | HARVARD PILGRIM |
| Y36767 | Other | MA | BCBS |
| 461840 | Other | MA | SECURE HORIZONS |
| 1696874 | Medicaid | MA | |
| 21313 | Other | MA | FALLON |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060417000554 | MA | Practitioner - Chiropractic | 4486663671 | Practice locations: Fitchburg, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
558 Electirc Ave
Fitchburg, MA 01420
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2552 | MA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506902400000",
"number": "1699811000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "558 ELECTRIC AVE",
"city": "FITCHBURG",
"state": "MA",
"postal_code": "01402",
"telephone_number": "978-343-9592",
"fax_number": "978-343-9054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "558 ELECTRIC AVE",
"city": "FITCHBURG",
"state": "MA",
"postal_code": "014205370",
"telephone_number": "978-343-9592",
"fax_number": "978-343-9054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "PRESCOTT",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-30",
"last_updated": "2017-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "2552",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2503513",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "352484",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "Y36767",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SECURE HORIZONS",
"identifier": "461840",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1696874",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON",
"identifier": "21313",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fitchburg, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.