Organization Active NPI

Robert W. & Amy White

  • Chiropractor
  • Knoxville, IL
National Provider Identifier
1942567938
Registry record updated Apr 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038008364 Issued in IL
Legal business name
ROBERT W. & AMY WHITE
Practice address
307 Henderson Rd
Knoxville, IL 61448-1019
Phone
(309) 289-4000
NPI assigned
Apr 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2012

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

Authorized official

Name
Dr. Robert Wallace White, D.C.
Title
Owner/Operator
Phone
(309) 289-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038008364 IL Primary

Addresses

Primary practice location

307 Henderson Rd
Knoxville, IL 61448-1019

Mailing address

307 Henderson Rd
Knoxville, IL 61448-1019
Phone (309) 289-4000

Other names 1

  • White Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

307 Henderson Rd
Knoxville, IL 61448
Phone (309) 289-4000

NPI Registry JSON

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

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334534400000",
    "number": "1942567938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 HENDERSON RD",
            "city": "KNOXVILLE",
            "state": "IL",
            "postal_code": "614481019",
            "telephone_number": "309-289-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 HENDERSON RD",
            "city": "KNOXVILLE",
            "state": "IL",
            "postal_code": "614481019",
            "telephone_number": "309-289-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT W. & AMY WHITE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-16",
        "last_updated": "2012-04-16",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WALLACE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "309-289-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038008364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Knoxville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2012; 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.