Colton Dean White | Meridian, ID • PECOS Search

Colton Dean White

Chiropractor

Chiropractic Providers

1462 W Ustick Rd Ste 130, Suite 130, Meridian, ID 83646-7736

PECOS Enrollment

Based on the most recent information from CMS, provider Colton Dean White does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1720581838
Provider Type
Individual
Full Name
White, Colton Dean
Title
Dr.
Credential
DC

Gender
Male
Sole Proprietor
No
Enumeration Date
3/15/2018
Last Updated
11/17/2025

Contact Information

Practice Location

1462 W Ustick Rd Ste 130, Suite 130, Meridian, ID 83646-7736

Unlisted Fax

Mailing Location

1462 W Ustick Rd Ste 130, Meridian, ID 83646-7736

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 111N00000X Primary	Description Chiropractor Chiropractic Providers	License CHIA-1822 Idaho