WHITE MOUNTAIN CHIROPRACTIC – NPI #1972706786
Chiropractor

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

WHITE MOUNTAIN CHIROPRACTIC is a chiropractor located in LAKESIDE, AZ. NPPES has assigned the NPI number 1972706786 to WHITE MOUNTAIN CHIROPRACTIC on June 08, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “WHITE MOUNTAIN CHIROPRACTIC” is a dba name, the actual legal business name for this organization is MUSTANG CHIROPRACTIC, LLC. The primary taxonomy selected by this provider is 111N00000X from the Health Care Provider Taxonomy code set, which is classified as Chiropractor.

The NPI profile was previously updated about 19 years ago on Oct 22, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WHITE MOUNTAIN CHIROPRACTIC below.

NPI Profile for
MUSTANG CHIROPRACTIC, LLC

NPI Number
1972706786
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MUSTANG CHIROPRACTIC, LLC
Doing Business As (dba): WHITE MOUNTAIN CHIROPRACTIC
Primary location
218 W. WHITE MOUNTAIN BLVD.
SUITE B
LAKESIDE, AZ 85929
Phone: (928) 367-5700 Fax: (928) 367-2241
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CHRISTOPHER BUTLER
PRESIDENT
Phone: (928) 367-3700
Updated
Identifiers

Identifiers for WHITE MOUNTAIN CHIROPRACTIC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERNPI (INDIVIDUAL)AZ1851401772
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
111N00000X
- Chiropractor (Primary)
AZ 7506

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.