Individual provider Active NPI

Todd Lee Porter, DC

  • Chiropractor
  • Denton, TX
National Provider Identifier
1093700270
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6387 Issued in TX
Practice address
721 W Hickory St
Denton, TX 76201-4044
Phone
(940) 387-0405
Fax
(940) 383-2966
NPI assigned
Sep 14, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6387 TX Primary

Addresses

Primary practice location

721 W Hickory St
Denton, TX 76201-4044

Mailing address

721 W Hickory St
Denton, TX 76201-4044
Phone (940) 387-0405

Other names 1

  • Dr. Todd Lee Porter Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070105000355 TX Practitioner - Chiropractic 7517967060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

721 W Hickory St
Denton, TX 76201-4044
Phone (940) 387-0405

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lifestyle Chiropractic PLLC Chiropractor CurrentSince Jan 26, 2013 Accepting new patients

Locations

721 W Hickory St
Denton, TX 76201
Phone (940) 387-0405

2317 W University Dr
Ste B5
Denton, TX 76201
Phone (214) 555-9999

2317 W University Dr
#B5
Denton, TX 76201
Phone (817) 387-0405

Organizations & group practices 1

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": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1093700270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 W HICKORY ST",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762014044",
            "telephone_number": "940-387-0405",
            "fax_number": "844-704-9562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 W HICKORY ST",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762014044",
            "telephone_number": "940-387-0405",
            "fax_number": "940-383-2966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "TODD",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "6387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TODD",
            "last_name": "PORTER",
            "middle_name": "LEE",
            "prefix": "DR.",
            "credential": "DC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; 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.