NPIMap

Organization Active NPI

Dr. Roderick C. White, LLC

Doing business as Cahaba Wellness

  • Chiropractor
  • Pelham, AL
National Provider Identifier
1992009377
Registry record updated Dec 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2317 Issued in AL
Legal business name
DR. RODERICK C. WHITE, LLC
Doing business as
Cahaba Wellness
Practice address
2969 Pelham Pkwy
Pelham, AL 35124-1795
Phone
(205) 664-8881
NPI assigned
Dec 29, 2010
Last updated
Dec 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2016

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

Authorized official

Name
Dr. Roderick White, D.C.NPI 1619279098
Title
Owner
Phone
(205) 663-5444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2317 AL Primary

Addresses

Primary practice location

2969 Pelham Pkwy
Pelham, AL 35124-1795

Mailing address

PO Box 345
Helena, AL 35080-0345
Phone (205) 664-8881

Other names 1

  • Cahaba Wellness Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110728000311 AL Part B Supplier - Clinic/Group Practice 7012185507 Receives reassigned benefits from 1 practitioner
Practice locations: Pelham, AL

National Provider Directory

National Provider Directory

Locations

263 Village Pkwy
Helena, AL 35080
Phone (205) 664-8881

1960 Chandalar Dr
Ste E
Pelham, AL 35124
Phone (205) 663-5444

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1293580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481587200000",
    "number": "1992009377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 345",
            "city": "HELENA",
            "state": "AL",
            "postal_code": "350800345",
            "telephone_number": "205-664-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2969 PELHAM PKWY",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351241795",
            "telephone_number": "205-664-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. RODERICK C. WHITE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-29",
        "last_updated": "2016-12-13",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "RODERICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-663-5444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cahaba Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pelham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.