Ralph William Porcaro, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1744012 Issued in WI

Practice address

3423 Washington Avenue
Racine, WI 53405-2908

Phone

(262) 632-0285

NPI assigned

Feb 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083740328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3423 WASHINGTON AVENUE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534052908",
            "telephone_number": "262-632-0285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3423 WASHINGTON AVENUE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534052908",
            "telephone_number": "262-632-0285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORCARO",
        "first_name": "RALPH",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "1744012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38775300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Podomedik Clinics
• Martin James Poe, PSY.D.
• Elizabeth Ann Polo, BS, CSAC, CSIT
• Nicholas Reinhart Pope, D.C.
• Porcaro Performance and Rehabilitation
• Portis Marriage and Children Counseling Clinic, LLC
• Alice Faye Portis-Patterson, MSW
• Eric Post, A.T.C
• Jessica Poteat
• Tiffany L Powell, MT

• Chiropractor in Racine, WI
• Providers in Racine, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.