Individual provider Active NPI

Jared Corey Portnoy, DC

  • Chiropractor
  • Plantation, FL
National Provider Identifier
1326710344
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH13680 Issued in FL
Practice address
1380 N University Dr Ste 103
Plantation, FL 33322-4719
Phone
(954) 975-1111
NPI assigned
Sep 28, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH13680 FL Primary

Addresses

Primary practice location

1380 N University Dr Ste 103
Plantation, FL 33322-4719

Mailing address

1301 E Atlantic Blvd Ste 2
Pompano Beach, FL 33060-6741
Phone (754) 205-6865

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211007002861 FL Practitioner - Chiropractic 2668870411 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chirocare of Florida, Inc. Chiropractor CurrentSince Sep 1, 2021 Accepting new patients

Locations

701 E Broward Blvd
Ste D
Ft Lauderdale, FL 33301
Phone (754) 243-8080

2390 NE 186th St
Miami, FL 33180
Phone (305) 760-8400

701 Northlake Blvd
Ste 101
North Palm Beach, FL 33408
Phone (561) 845-7292

801 S University Dr
Ste J101
Plantation, FL 33324
Phone (954) 300-4942

1600 S Federal Hwy
Ste 811
Pompano Beach, FL 33062

1301 E Atlantic Blvd
Ste 2
Pompano Beach, FL 33060
Phone (954) 532-6909

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1326710344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 E ATLANTIC BLVD STE 2",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330606741",
            "telephone_number": "754-205-6865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 N UNIVERSITY DR STE 103",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333224719",
            "telephone_number": "954-975-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTNOY",
        "first_name": "JARED",
        "middle_name": "COREY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-28",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH13680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.