Portonova Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC010381 Issued in PA

Legal business name

PORTONOVA CHIROPRACTIC, LLC

Practice address

943 N Church St
Hazleton, PA 18201-1800

Phone

(570) 861-8502

Fax

(570) 861-8170

NPI assigned

Feb 21, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Michael John Portonova, D.C.

Title

Owner

Phone

(570) 861-8502

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1329782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454544000000",
    "number": "1194098178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "943 N CHURCH ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182011800",
            "telephone_number": "570-861-8502",
            "fax_number": "570-861-8170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "943 N CHURCH ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182011800",
            "telephone_number": "570-861-8502",
            "fax_number": "570-861-8170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTONOVA CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-21",
        "last_updated": "2016-02-04",
        "status": "A",
        "authorized_official_last_name": "PORTONOVA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-861-8502",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michael John Portonova, D.C.
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• Chiropractor in Hazleton, PA
• Providers in Hazleton, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.