Porter Chiropractic Clinic

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PORTER CHIROPRACTIC CLINIC

Practice address

1412 Cleveland Ave NW
Canton, OH 44703-3103

Phone

(330) 452-8811

Fax

(330) 452-8871

NPI assigned

Aug 18, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Edwin D Porter, D.M., D.C.NPI 1689602039

Title

President

Phone

(330) 452-8811

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edwin D Porter, DM, DC

  • Chiropractor
  • Canton, OH
  • NPI 1689602039
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1063668374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 CLEVELAND AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447033103",
            "telephone_number": "330-452-8811",
            "fax_number": "330-452-8871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 CLEVELAND AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447033103",
            "telephone_number": "330-452-8811",
            "fax_number": "330-452-8871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTER CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-18",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-452-8811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M., D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009880-8",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rajean Pope
• Regina Pope
• Emil D Poporad, D.D.S.,M.S.
• Ardith Elise Porosky
• Tottie A Porrini
• Andrea Leigh Porter, PTA
• Cassandra E Porter, NP
• Edwin D Porter, DM, DC
• James Robert Porter, R.PH
• Latisha Porter

• Chiropractor in Canton, OH
• Providers in Canton, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.