JORDAN CRAIG WHITE D.C.
NPI 1104937648
Chiropractor in San Antonio, TX
About Jordan Craig White D.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JORDAN CRAIG WHITE D.C. (NPI 1104937648) is an individual chiropractor in San Antonio, Texas, licensed in Texas (4135) and active in the NPI registry since August 2006. He holds a CLIA Waiver certificate valid through November 14, 2026 and is a graduate of Other (1984).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jordan Craig White D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 45D2049838
Jordan C White Dc LLC · San Antonio, TXOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jordan White's NPI number?
The NPI number for Jordan White is 1104937648. It was assigned to this individual provider in the NPPES registry on August 31, 2006.
Where is Jordan White located?
Jordan White practices at 10008 Wurzbach Rd, San Antonio, TX 78230. The listed phone number is (210) 275-4600.
What is Jordan White's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Jordan White enrolled in Medicare?
Yes. Jordan White is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Does Jordan White hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2049838) is associated with this NPI, valid through November 14, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Jordan White was last updated on March 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jordan Craig White, D.C. · NPI 1104937648
Chiropractor provider in San Antonio, Texas. Individual provider, active in the CMS NPPES registry since August 31, 2006.
## Identity
- **NPI:** 1104937648 (Entity type: Individual)
- **Enumerated:** August 31, 2006
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 4135 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 10008 WURZBACH RD, San Antonio, TX 78230-2214
- **Phone:** (210) 275-4600 · **Fax:** (210) 855-3682
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Medical school:** Other, class of 1984
## Record status
- **NPPES last updated:** March 5, 2020
- **Other identifiers:** Other 8H0000 (TX)
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1104937648) · Data from the CMS NPPES public registry.