JAY WHITE DC, CCSP, ATC
NPI 1891447447
Chiropractor - Sports Physician in Elkhorn, WI

Q: What is Jay White's NPI number?

The NPI number for Jay White is 1891447447. It was assigned to this individual provider in the NPPES registry on January 25, 2022.

Q: What is Jay White's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Q: When was this NPI record last updated?

The NPPES record for Jay White was last updated on January 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since January 25, 2022

N8302 US HIGHWAY 12, ELKHORN, WI 53121(603) 856-6030 Get Directions Write a Review

NPPES record last updated: January 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jay White Dc, Ccsp, Atc NPPES

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

JAY WHITE DC, CCSP, ATC (NPI 1891447447) is an individual sports physician in Elkhorn, Wisconsin, licensed in Wisconsin (5701-12) and active in the NPI registry since January 2022. He is a graduate of Western States College Of Chiropractic (2021).

NPPES Registry Identity

NPI1891447447

Entity TypeIndividualMale

Primary Taxonomy111NS0005X

Provider Legal NameJAY WHITECredential: DC, CCSP, ATC

Location AddressN8302 US HIGHWAY 12Elkhorn, WI 53121-2429

Mailing AddressN8302 Us Highway 12Elkhorn, WI 53121-2429

Phone(603) 856-6030

Sole ProprietorNo

Medical School CMSWestern States College Of ChiropracticGraduated 2021

Enumeration DateJanuary 25, 2022

NPPES CertifiedJanuary 24, 2022

✔ NPI 1891447447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers

Taxonomy Code111NS0005X

License✔ Licensed in WI · 5701-12

Definition

A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.

N8302 US HIGHWAY 12, Elkhorn, WI 53121

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jay White Dc, Ccsp, Atc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8224408752

PECOS Enrollment IDI20260421004104

Other Providers at the Same Location NPPES 2

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

CHIROS IN MOTION

Chiropractor (Sports Physician)

N8302 US HIGHWAY 12
ELKHORN, WI 53121

Walworth County (262) 374-8315

EMMA R SCARO DC, MS, CCSP

Chiropractor (Sports Physician)

N8302 US HIGHWAY 12
ELKHORN, WI 53121

Walworth County (262) 374-8315

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 Jay White's NPI number?

The NPI number for Jay White is 1891447447. It was assigned to this individual provider in the NPPES registry on January 25, 2022.

Where is Jay White located?

Jay White practices at N8302 Us Highway 12, Elkhorn, WI 53121. The listed phone number is (603) 856-6030.

What is Jay White's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Is Jay White enrolled in Medicare?

Yes. Jay White is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jay White was last updated on January 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.