Active NPI
Brenda J White, D.C.
- Chiropractor
- Dodgeville, WI
National Provider Identifier
1982792164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3780
- Practice address
- 401 N Union St
Dodgeville, WI 53533-1347 - Phone
- (608) 935-5136
- NPI assigned
- Oct 11, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3780 | WI | Primary |
Addresses
Primary practice location
401 N Union St
Dodgeville, WI 53533-1347
Mailing address
1206 N Johns St
Dodgeville, WI 53533-1279
Phone (608) 935-5136
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38932800 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1206 N Johns St
Dodgeville, WI 53533-1279
Phone (608) 935-1773
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dodgeville Family Chiropractic SC | Chiropractor | Current | Accepting new patients |
Locations
1206 N Johns St
Dodgeville, WI 53533
Phone (608) 574-5125
401 N Union St
Dodgeville, WI 53533
Phone (608) 935-1773
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.
-
- Chiropractor
- Dodgeville, WI
- NPI 1619036134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541980800000",
"number": "1982792164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1206 N JOHNS ST",
"city": "DODGEVILLE",
"state": "WI",
"postal_code": "535331279",
"telephone_number": "608-935-5136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 N UNION ST",
"city": "DODGEVILLE",
"state": "WI",
"postal_code": "535331347",
"telephone_number": "608-935-5136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "BRENDA",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-11",
"last_updated": "2018-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "3780",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38932800",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dodgeville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2018; 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.