Active NPI
Leslie Boyd White, D.C.
- Orthopedic Chiropractor
- Burien, WA
National Provider Identifier
1982698205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Chiropractor
- License
- CH0000759
- Practice address
- 445 S 152ND St
Burien, WA 98148-1107 - Phone
- (206) 246-5370
- Fax
- (206) 246-4806
- NPI assigned
- Sep 1, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Chiropractor | 111NX0800X | CH0000759 | WA | Primary |
Addresses
Primary practice location
445 S 152ND St
Burien, WA 98148-1107
Mailing address
445 S 152ND St
Burien, WA 98148-1107
Phone (206) 246-5370
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2964500 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH0000759 | WA | MD | Orthopedic Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281398400000",
"number": "1982698205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "445 S 152ND ST",
"city": "BURIEN",
"state": "WA",
"postal_code": "981481107",
"telephone_number": "206-246-5370",
"fax_number": "206-246-4806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 S 152ND ST",
"city": "BURIEN",
"state": "WA",
"postal_code": "981481107",
"telephone_number": "206-246-5370",
"fax_number": "206-246-4806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "LESLIE",
"middle_name": "BOYD",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-01",
"last_updated": "2010-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "WA",
"license": "CH0000759",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2964500",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burien, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.