Christiana Mica White, DMD
Individual provider Active NPI General Practice Dentistry · Chetek, WI
NPI 1871289918 · NPPES record last updated Jan 20, 2026
Key facts
- NPI
- 1871289918
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 7603 (LA)
- Practice address
- 708 Dallas St
Chetek, WI 54728-9120 - Phone
- (715) 924-4841
- NPI assigned
- Apr 12, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Dentist
- Education
- Tufts University School of Dental Medicine, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1631 Elysian Fields Ave
New Orleans, LA 70117-8208
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260128003756 | LA | Practitioner - Dentist | 8123506417 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7603 | LA | MD | Mental Health Counselor |
| 6001721-15 | WI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| No AIDS Task Force | Current |
Accepting new patients | |
| No AIDS Task Force | Current |
Accepting new patients |
Locations
1631 Elysian Fields Ave
New Orleans, LA 70117
Phone (504) 821-2601
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6001721-15 | WI | |
| General Practice Dentistry | 1223G0001X | 7603 | LA | Yes |
Addresses
Primary practice location
708 Dallas St
Chetek, WI 54728-9120
Mailing address
2424 Tulane Ave Apt 706
New Orleans, LA 70119-7570
Phone (904) 891-1085
Other practice location 1
1631 Elysian Fields Ave
New Orleans, LA 70117-8208
Phone (504) 821-2601
Other practice location 2
9900 Lake Forest Blvd Ste F
New Orleans, LA 70127-2609
Phone (504) 620-0500
Other providers in Chetek, WI
All providers in Chetek, WI · General Practice Dentistry in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.