Active NPI
Daniel D Porter, D.C.
- Chiropractor
- Lakeland, MN
National Provider Identifier
1225200439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2473
- Practice address
- 326 Saint Croix Trail South
Lakeland, MN 55043-0294 - Phone
- (651) 436-7724
- Fax
- (651) 436-7724
- NPI assigned
- Mar 27, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2473 | MN | Primary |
Addresses
Primary practice location
326 Saint Croix Trail South
Lakeland, MN 55043-0294
Mailing address
PO Box 294
Lakeland, MN 55043-0294
Phone (651) 436-7724
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4C786LA | Other | MN | BCBSM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2473 | MN | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206576000000",
"number": "1225200439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 294",
"city": "LAKELAND",
"state": "MN",
"postal_code": "550430294",
"telephone_number": "651-436-7724",
"fax_number": "651-436-7724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "326 SAINT CROIX TRAIL SOUTH",
"city": "LAKELAND",
"state": "MN",
"postal_code": "550430294",
"telephone_number": "651-436-7724",
"fax_number": "651-436-7724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "DANIEL",
"middle_name": "D",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-03-27",
"last_updated": "2008-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "2473",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "4C786LA",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakeland, MN
- David Duane Millard, P.T.
- Northland Dental Partners, PLLC (Metro Dentalcare Lakeland)
- Catherine C Olson, LICSW
- Kennedy Oreilly
- Suzanne Kay Oswald
- Mark C. Reps, D.C.
- Rosann M. Froehle DC LLC (Lakeland Family Chiropractic and Acupunct)
- St Croix Hearing LLC
- St Croix Psychiatric Services, PLLC
- John Edward Sweeney, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.