Clyde William Porter, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

B115 Issued in NV

Practice address

1005 Terminal Way Ste 270
Reno, NV 89502-2181

Phone

(775) 331-0177

Fax

(775) 331-8391

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Community Health Alliance

  • Pharmacy
  • Sun Valley, NV
  • NPI 1720728298
  NPD (past)
• Power Health Chiropractic Inc

  • Chiropractor
  • Reno, NV
  • NPI 1376698217
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537920000000",
    "number": "1346351905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20788",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895150788",
            "telephone_number": "775-331-0177",
            "fax_number": "775-331-8391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 TERMINAL WAY STE 270",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895022181",
            "telephone_number": "775-331-0177",
            "fax_number": "775-331-8391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2321 Pyramid Way",
            "address_2": "Ste B",
            "address_purpose": "LOCATION",
            "city": "Sparks",
            "state": "NV",
            "postal_code": "894318716",
            "country_code": "US",
            "telephone_number": "775-331-0177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTER",
        "first_name": "CLYDE",
        "middle_name": "WILLIAM",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2018-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEVADA TAX ID",
            "identifier": "88-0178222",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Porras
• Jessica Porreca
• Austin Z Porsborg
• Porter Chiropractic Research Institute, LTD.
• Ashley Elizabeth Porter, LCSW
• Holly Fidelis Porter, APRN
• Jevon Travell Porter
• Michael W Porter
• Steven Porter
• Aaren Louise Porteur, RN, CNOR, RNFA

• Chiropractor in Reno, NV
• Providers in Reno, NV by specialty
• Chiropractor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; 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.