Chance Eric White, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2014023115 Issued in MO

Practice address

407 E Parker Ave
Chaffee, MO 63740-1030

Phone

(573) 450-7398

NPI assigned

Sep 10, 2014

Last updated

Sep 10, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chaffee Nursing, LLC

  dba Chaffee Nursing Center

  • Skilled Nursing Facility
  • Chaffee, MO
  • NPI 1306843057
  NPD (past)
• The University of Arizona, Campus Health Service

  • Student Health Clinic/Center
  • Tucson, AZ
  • NPI 1952672271
  NPD (past)

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410307200000",
    "number": "1861893737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68",
            "city": "CHAFFEE",
            "state": "MO",
            "postal_code": "637400068",
            "telephone_number": "573-887-3615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 E PARKER AVE",
            "city": "CHAFFEE",
            "state": "MO",
            "postal_code": "637401030",
            "telephone_number": "573-450-7398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "CHANCE",
        "middle_name": "ERIC",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-10",
        "last_updated": "2014-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2014023115",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-04863",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristy Roth, PHARMD
• Myra Schwartz, RD, LD
• Terri Semmler, P.T.A.
• Courtney McGill Teegarden, PHARMD
• Thymios P Lambrou Lilbourn Medical Clinic (Chaffee Medical Clinic)
• Misty Dawn Wilhite, APRN, FNP-BC

• Physical Therapist in Chaffee, MO
• Providers in Chaffee, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; 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.