Active NPI
Stanton Alan Couch, D.C.
- Chiropractor
- Portland, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08002700A
- Practice address
- 609 N. Charles St.
Portland, IN 47371-3011 - Phone
- (260) 726-3065
- Fax
- (260) 726-3406
- NPI assigned
- May 8, 2006
- Last updated
- Apr 1, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08002700A | IN | Primary |
Addresses
Primary practice location
609 N. Charles St.
Portland, IN 47371-3011
Mailing address
609 N. Charles St.
Portland, IN 47371-3011
Phone (260) 726-3065
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201304680 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2003
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1501 N Walnut St
Hartford City, IN 47348-1343
Phone (765) 329-5044
609 N Charles St
Portland, IN 47371-3011
Phone (260) 726-3065
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08002700A | IN | MD | Chiropractor |
| 2867 | SC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Simmons Specific Chiropractic P C | Chiropractor | Past | Accepting new patients |
| Clear Chiropractic Shelbyville LLC | Chiropractor | Past | Accepting new patients |
| Clear Chiropractic Hartford City, LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Clear Choice Chiropractic
- Chiropractor
- Portland, IN
- NPI 1427022946
-
dba Clear Choice Chiropractic
- Chiropractor
- Shelbyville, IN
- NPI 1861106338
-
- Chiropractor
- Hartford City, IN
- NPI 1134944291
-
- Chiropractor
- Midland, MI
- NPI 1689758443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648771200000",
"number": "1053360123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 N. CHARLES ST.",
"city": "PORTLAND",
"state": "IN",
"postal_code": "473713011",
"telephone_number": "260-726-3065",
"fax_number": "260-726-3406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 N. CHARLES ST.",
"city": "PORTLAND",
"state": "IN",
"postal_code": "473713011",
"telephone_number": "260-726-3065",
"fax_number": "260-726-3406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COUCH",
"first_name": "STANTON",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-08",
"last_updated": "2022-04-01",
"certification_date": "2022-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "08002700A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201304680",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.