Active NPI
Mark Daniel White, DC
- Chiropractor
- Panama City, FL
National Provider Identifier
1710080882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH0005917
- Practice address
- 2427 Thomas Dr
Panama City, FL 32408 - Phone
- (850) 234-2387
- Fax
- (850) 234-9686
- NPI assigned
- Sep 6, 2006
- 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 | CH0005917 | FL | Primary |
Addresses
Primary practice location
2427 Thomas Dr
Panama City, FL 32408
Mailing address
2427 Thomas Dr
Panama City, FL 32408
Phone (850) 234-2387
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 053050600 | Medicaid | FL | |
| 22428 | Other | FL | BCBS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| CH0005917 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beach Chiropractic Clinic LLC | Chiropractor | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Panama City Beach, FL
- NPI 1497403869
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349222400000",
"number": "1710080882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2427 THOMAS DR",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "32408",
"telephone_number": "850-234-2387",
"fax_number": "850-234-9686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2427 THOMAS DR",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "32408",
"telephone_number": "850-234-2387",
"fax_number": "850-234-9686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "MARK",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-06",
"last_updated": "2012-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH0005917",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "053050600",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "22428",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Panama City, FL
- Whispering Wind Emergency Physicians, LLC
- White Industries, LLC
- White Sands Anesthesia & Pain Medicine Inc
- Alicia N White, BCBA
- Brittney Marie White
- Paul D. White, LADAC,ACADC
- Mandi Madison Leigh Whitehead, COTA/L
- Ashley Nichole Whitfield, PHARM D
- Brittany Nicole Whitfield, APRN, PMHNP
- David Bradley Whitfield
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.