Porter Chiropractic and Wellness, LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

CH10961 Issued in FL

Legal business name

PORTER CHIROPRACTIC AND WELLNESS, LLC

Practice address

1367 Beville Rd
Daytona Beach, FL 32119-1529

Phone

(386) 317-2000

Fax

(386) 265-5552

NPI assigned

Aug 15, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Debora Lynn Porter, D.C.NPI 1508299488

Title

Chiropractic Physician/Owner

Phone

(386) 316-2524

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Porter Chiropractic & Wellness, LLC

  • Physician Assistant
  • Daytona Beach, FL
  • NPI 1073144473

  O20140327001334

  Same enrollment

Locations

Practitioners 3

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

• Debora Lynn Porter, D.C.

  • Chiropractor
  • Daytona Beach, FL
  • NPI 1508299488
  Medicare reassignment NPD Authorized official
• Hanna Chumita, DC

  • Chiropractor
  • Daytona Beach, FL
  • NPI 1164995064
  Medicare reassignment NPD
• Cindy Renee Parker, DHSC, PA-C

  • Physician Assistant
  • Daytona Beach, FL
  • NPI 1851506760
  Medicare reassignment

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

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588723200000",
    "number": "1114350097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1367 BEVILLE RD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321191529",
            "telephone_number": "386-316-2524",
            "fax_number": "386-310-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1367 BEVILLE RD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321191529",
            "telephone_number": "386-317-2000",
            "fax_number": "386-265-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTER CHIROPRACTIC AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-15",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "DEBORA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "386-316-2524",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "CH10961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Polott
• Marygrace Polsinelli
• Eric B. Pontey, MD
• Jean Pierre Pontier, DMD MS
• Porter Chiropractic & Wellness, LLC
• Debora Lynn Porter, D.C.
• Khristin H Porter
• Ronald Porter
• Shaun Porter, PT, DPT
• Antonio Manuel Portilla-Cintron Jr., M.D.

• Medical Specialty Clinic/Center in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Medical Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.