Individual provider Active NPI

Charles Evers Whyte, MS, DC

  • Nutrition Chiropractor
  • Stamford, CT
National Provider Identifier
1811137649
Registry record updated Jul 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
001341 Issued in CT
Practice address
30 Myano LN
Suite 26
Stamford, CT 06902-4532
Phone
(203) 708-9299
Fax
(203) 708-9269
NPI assigned
Mar 6, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X 001341 CT Primary
Nutritionist 133N00000X 001341 CT

Addresses

Primary practice location

30 Myano LN
Suite 26
Stamford, CT 06902-4532

Mailing address

30 Myano LN
Suite 26
Stamford, CT 06902-4532
Phone (203) 708-9299

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
001341CTMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247702400000",
    "number": "1811137649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 MYANO LN",
            "address_2": "SUITE 26",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069024532",
            "telephone_number": "203-708-9299",
            "fax_number": "203-708-9269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MYANO LN",
            "address_2": "SUITE 26",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069024532",
            "telephone_number": "203-708-9299",
            "fax_number": "203-708-9269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHYTE",
        "first_name": "CHARLES",
        "middle_name": "EVERS",
        "name_prefix": "Dr.",
        "credential": "MS, DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-06",
        "last_updated": "2009-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "CT",
            "license": "001341",
            "primary": true
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "CT",
            "license": "001341",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; 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.