Active NPI
Wards Corner Chiropractic, Inc.
- Sports Physician Chiropractor
- Loveland, OH
National Provider Identifier
1154587483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- Legal business name
- WARDS CORNER CHIROPRACTIC, INC.
- Practice address
- 550 Wards Corner Rd.
Suite 101
Loveland, OH 45140-6149 - Phone
- (513) 677-6787
- Fax
- (513) 677-2260
- NPI assigned
- Aug 6, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Douglas R Portmann
- Title
- Owner
- Phone
- (513) 677-6787
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | Primary |
Addresses
Primary practice location
550 Wards Corner Rd.
Suite 101
Loveland, OH 45140-6149
Mailing address
550 Wards Corner Rd.
Suite 101
Loveland, OH 45140-6149
Phone (513) 677-6787
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0136043 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
550 Wards Corner Rd
Ste 101
Loveland, OH 45140
Phone (513) 677-6787
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Sports Physician Chiropractor
- Loveland, OH
- NPI 1568497717
-
- Orthopedic Physical Therapist
- Loveland, OH
- NPI 1154445625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1329091200000",
"number": "1154587483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 WARDS CORNER RD.",
"address_2": "SUITE 101",
"city": "LOVELAND",
"state": "OH",
"postal_code": "451406149",
"telephone_number": "513-677-6787",
"fax_number": "513-677-2260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 WARDS CORNER RD.",
"address_2": "SUITE 101",
"city": "LOVELAND",
"state": "OH",
"postal_code": "451406149",
"telephone_number": "513-677-6787",
"fax_number": "513-677-2260"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WARDS CORNER CHIROPRACTIC, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-06",
"last_updated": "2012-02-13",
"status": "A",
"authorized_official_last_name": "PORTMANN",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "513-677-6787",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Sports Physician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0136043",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Loveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; 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.