Individual provider Active NPI

Dale L White Jr., D.C.

  • Chiropractor
  • Fort Worth, TX
National Provider Identifier
1841273182
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2672 Issued in TX
Practice address
1141 Long Ave
Fort Worth, TX 76114-3012
Phone
(817) 625-1165
Fax
(817) 740-1701
NPI assigned
Nov 21, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2672 TX Primary

Addresses

Primary practice location

1141 Long Ave
Fort Worth, TX 76114-3012

Mailing address

1141 Long Ave
River Oaks, TX 76114-3012
Phone (817) 625-1165

Other identifiers 1

IdentifierTypeStateIssuer
C06009549MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080627000054 TX Practitioner - Chiropractic 1658443239 Reassigns benefits to 1 organization
Receives reassigned benefits from 2 practitioners
Practice locations: River Oaks, TX

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
White Integrated Health Clinics, PLLCGroup PAC ID 0749535763, 5 clinicians

Practice addresses (Care Compare)

1141 Long Ave
River Oaks, TX 76114-3012
Phone (817) 625-1165

5925 Convair Dr
Suite 509
Fort Worth, TX 76109-1276
Phone (817) 349-7541

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2672TXMDAssistant Behavior Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
White Integrated Health Clinics, PLLC Chiropractor CurrentSince Aug 14, 2018 Accepting new patients

Locations

5925 Convair Dr
Ste 509
Fort Worth, TX 76109
Phone (817) 349-7541

1141 Long Ave
River Oaks, TX 76114
Phone (325) 695-2225

Practitioners & affiliated clinicians

Practitioners 2

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205452800000",
    "number": "1841273182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 LONG AVE",
            "city": "RIVER OAKS",
            "state": "TX",
            "postal_code": "761143012",
            "telephone_number": "817-625-1165",
            "fax_number": "817-740-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 LONG AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761143012",
            "telephone_number": "817-625-1165",
            "fax_number": "817-740-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "DALE",
        "middle_name": "L",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2008-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "2672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "C06009549",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; 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.

Verify at the official NPI Registry.