Organization Active NPI

Wards Corner Chiropractic, Inc.

  • Sports Physician Chiropractor
  • Loveland, OH
National Provider Identifier
1154587483
Registry record updated Feb 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
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

Updated by the provider on Feb 13, 2012

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

Authorized official

Name
Dr. Douglas R PortmannNPI 1568497717
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)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0136043MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031204000808 OH Part B Supplier - Clinic/Group Practice 0648175448 Receives reassigned benefits from 1 practitioner
Practice locations: Loveland, OH

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.