Individual provider Active NPI

Christopher William Lind-White, M.D.

  • Developmental - Behavioral Pediatrics Physician
  • Corte Madera, CA
National Provider Identifier
1790961449
Registry record updated Jan 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X
License
A63412 Issued in CA
Practice address
2 Fifer Ave
Suite 200
Corte Madera, CA 94925-1134
Phone
(415) 927-2788
Fax
(415) 927-2179
NPI assigned
Jan 11, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental - Behavioral Pediatrics Physician 2080P0006X A63412 CA Primary

Addresses

Primary practice location

2 Fifer Ave
Suite 200
Corte Madera, CA 94925-1134

Mailing address

2 Fifer Ave
Suite 200
Corte Madera, CA 94925-1134
Phone (415) 927-2788

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A63412CAMDDevelopmental - Behavioral Pediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200009600000",
    "number": "1790961449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 FIFER AVE",
            "address_2": "SUITE 200",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251134",
            "telephone_number": "415-927-2788",
            "fax_number": "415-927-2179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 FIFER AVE",
            "address_2": "SUITE 200",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251134",
            "telephone_number": "415-927-2788",
            "fax_number": "415-927-2179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIND-WHITE",
        "first_name": "CHRISTOPHER",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-11",
        "last_updated": "2008-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "CA",
            "license": "A63412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corte Madera, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; 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.