Individual provider Active NPI

Stanton Alan Couch, D.C.

  • Chiropractor
  • Portland, IN
National Provider Identifier
1053360123
Registry record updated Apr 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002700A Issued in IN
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
201304680MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150618002661 IN Practitioner - Chiropractic 1052207164 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2003
Medicare assignment
May accept Medicare assignment
Group practices
Clear Chiropractic Indiana LLCGroup PAC ID 1658428271, 4 clinicians

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

LicenseStateTypeSpecialty
08002700AINMDChiropractor
2867SCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Simmons Specific Chiropractic P C Chiropractor Past Accepting new patients
Clear Chiropractic Shelbyville LLC Chiropractor PastSince Nov 1, 2023 Accepting new patients
Clear Chiropractic Hartford City, LLC Chiropractor PastSince Nov 24, 2024 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.

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.

Verify at the official NPI Registry.