Russell Porter, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2014041284 Issued in MO

Practice address

462 SW Ward Rd
Lees Summit, MO 64081-2447

Phone

(816) 524-5838

NPI assigned

Mar 3, 2015

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

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bateman Gatrost Chiro PCGroup PAC ID 8022071331, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bateman Gatrost Chiro PC

  • Chiropractor
  • Independence, MO
  • NPI 1013037597
  Medicare reassignment Care Compare group NPD
• Porter Chiropractic and Acupuncture, LLC

  • Chiropractor
  • Lee's Summit, MO
  • NPI 1033502521
  NPD Authorized official
• Advanced Sports and Family Chiropractic, LLC

  • Chiropractor
  • Overland Park, KS
  • NPI 1376710293
  NPD (past)

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

{
    "created_epoch": "1425340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1154713923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 SW WARD RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640812447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 SW WARD RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640812447",
            "telephone_number": "816-524-5838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "RUSSELL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-03",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2014041284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Pollard, FNP-BC
• Sydney Ann Polzar
• Molly Marie Pomeroy, MS
• Porter Chiropractic and Acupuncture, LLC
• Brianna R Porter, D.C.
• Madeleine Grace Posz
• Tina Marie Poulson, DC
• Alan E Powell, MD
• Martin Matthew Powers, D.C.
• Prairie Township Fire Protection District

• Chiropractor in Lee's Summit, MO
• Providers in Lee's Summit, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.