DR. MICHAEL THOMAS DOUGLASS-WHITE D.C.
NPI 1255861985
Chiropractor in Maplewood, MN

Q: What is Michael Douglass-white's NPI number?

The NPI number for Michael Douglass-white is 1255861985. It was assigned to this individual provider in the NPPES registry on June 15, 2017.

Q: What is Michael Douglass-white's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Active since June 15, 2017Accepts Medicare Assignment

2599 WHITE BEAR AVE N, MAPLEWOOD, MN 55109(651) 779-8115(651) 927-0331 Get Directions Write a Review

NPPES record last updated: January 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 19, 2023, Jul 21, 2022, Jun 15, 2017 (3 updates tracked since 2017).

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About Dr. Michael Thomas Douglass-white D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL THOMAS DOUGLASS-WHITE D.C. (NPI 1255861985) is an individual chiropractor in Maplewood, Minnesota, licensed in Minnesota (6372) and active in the NPI registry since June 2017. He maintains a secondary practice location in Jordan and is a graduate of Other (2017).

NPPES Registry Identity

NPI1255861985

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. MICHAEL THOMAS DOUGLASS-WHITECredential: D.C.

Location Address2599 WHITE BEAR AVE NMaplewood, MN 55109-5171

Mailing Address2599 White Bear Ave NMaplewood, MN 55109-5171 · (651) 779-8115 · Fax (519) 270-3316

Phone(651) 779-8115

Fax(651) 927-0331

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJune 15, 2017

Last NPPES UpdateJanuary 19, 20233 updates tracked since enumeration

NPPES CertifiedJanuary 19, 2023

✔ NPI 1255861985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in MN · 6372

Definition

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.

2599 WHITE BEAR AVE N, Maplewood, MN 55109

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Secondary Practice Location 1

Location 1108 Creek Ln SJordan, MN 55352-1202 · Phone (952) 492-6363 · Fax (952) 492-5129

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.Insurance ›

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

Dr. Michael Thomas Douglass-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.

PECOS PAC ID2466727904

PECOS Enrollment IDI20171009002582

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941

Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.

338 services37 patients

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CALVIN T NGUYEN D.C

Chiropractor