Jeremy Dean Porter, LMT

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA00013632 Issued in WA

Practice address

1486 Electric Ave
Suite #103
Bellingham, WA 98229-2410

Phone

(360) 671-5644

NPI assigned

Sep 17, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Pro Health Chiropractic LLC

  • Chiropractor
  • Bellingham, WA
  • NPI 1285818021
  NPD (past)

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221609600000",
    "number": "1407005200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 W INDIANA ST",
            "address_2": "#1",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251509",
            "telephone_number": "360-224-8845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1486 ELECTRIC AVE",
            "address_2": "SUITE #103",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982292410",
            "telephone_number": "360-671-5644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "JEREMY",
        "middle_name": "DEAN",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-17",
        "last_updated": "2008-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00013632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leya Poltavskaya, PTA
• Melissa Pomeroy-Peterson, LMP
• Martin Sheldon Ponnech, CRNFA
• Rebecca Danielle Pope, MAED
• Joseph John Popelka
• Kelsey Porter
• Lauren Porter
• Rhonda Lee Porter
• Alicia Portillo, PA
• Thomas Christopher Portman, PH.D.

• Specialist in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.

Verify at the official NPI Registry.