Portenier Chiropractic, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3218 Issued in CO

Legal business name

PORTENIER CHIROPRACTIC, PC

Practice address

7373 W Jefferson Ave Ste 402
Lakewood, CO 80235-2051

Phone

(303) 972-0800

Fax

(303) 972-4132

NPI assigned

May 16, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Ralph Portenier, D.C.

Title

President

Phone

(303) 972-0800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305504000000",
    "number": "1386937951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7373 W JEFFERSON AVE STE 402",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802352051",
            "telephone_number": "303-972-0800",
            "fax_number": "303-972-4132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7373 W JEFFERSON AVE STE 402",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802352051",
            "telephone_number": "303-972-0800",
            "fax_number": "303-972-4132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTENIER CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-16",
        "last_updated": "2011-05-16",
        "status": "A",
        "authorized_official_last_name": "PORTENIER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "RALPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-972-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "3218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelyn Pope
• Tammy Lynn Pope, MS, ICGCII
• Garrett Michael Popish
• Bradley Allen Poppie
• Danielle Jessica Porch
• Bethany Porter, LPCC
• Holly Lyn Porter, MA
• Kristen Porter, RN
• Rebecca Anne Porter
• Portercare Adventist Health System

• Chiropractor in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2011; 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.