Active NPI
Jeremy R Portmann, DC
- Chiropractor
- New Philadelphia, OH
National Provider Identifier
1275554149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3732
- Practice address
- 204 W High Ave
New Philadelphia, OH 44663-3812 - Phone
- (330) 440-6700
- Fax
- (330) 440-6701
- NPI assigned
- Jul 23, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 11297 | TX | |
| Chiropractor | 111N00000X | 3732 | OH | Primary |
Addresses
Primary practice location
204 W High Ave
New Philadelphia, OH 44663-3812
Mailing address
204 W High Ave
New Philadelphia, OH 44663-3812
Phone (330) 440-6700
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3732 | OH | MD | Chiropractor |
| 11297 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beckett Ridge Chiropractic LLC | Chiropractor | Past | Accepting new patients |
| Trinity Rehab & Wellness | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- West Chester, OH
- NPI 1700894052
-
- Chiropractor
- Dallas, TX
- NPI 1265620686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491436800000",
"number": "1275554149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 W HIGH AVE",
"city": "NEW PHILADELPHIA",
"state": "OH",
"postal_code": "446633812",
"telephone_number": "330-440-6700",
"fax_number": "330-440-6701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 W HIGH AVE",
"city": "NEW PHILADELPHIA",
"state": "OH",
"postal_code": "446633812",
"telephone_number": "330-440-6700",
"fax_number": "330-440-6701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTMANN",
"first_name": "JEREMY",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-23",
"last_updated": "2017-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "11297",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "3732",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.