Organization Active NPI

Calvin White, M.D.

  • Family Medicine Physician
  • Opelousas, LA
National Provider Identifier
1831429075
Registry record updated Jan 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CALVIN WHITE, M.D.
Practice address
1119 Prudhomme Cir
Opelousas, LA 70570-6516
Phone
(337) 942-1320
Fax
(337) 407-8787
NPI assigned
Jan 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2010

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

Authorized official

Name
Calvin White, MDNPI 1699774075
Title
Physician
Phone
(337) 942-1320

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1119 Prudhomme Cir
Opelousas, LA 70570-6516

Mailing address

1119 Prudhomme Cir
Opelousas, LA 70570-6516
Phone (337) 942-1320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100514000636 LA Part B Supplier - Clinic/Group Practice 4486782240 Receives reassigned benefits from 1 practitioner
Practice locations: Opelousas, LA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1263168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263168000000",
    "number": "1831429075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 PRUDHOMME CIR",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705706516",
            "telephone_number": "337-942-1320",
            "fax_number": "337-407-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 PRUDHOMME CIR",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705706516",
            "telephone_number": "337-942-1320",
            "fax_number": "337-407-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALVIN WHITE, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-11",
        "last_updated": "2010-01-11",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "337-942-1320",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelousas, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; 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.

Verify at the official NPI Registry.