Individual provider Active NPI

Nathan Jon Porcher, D.C.

  • Chiropractor
  • Melrose Park, IL
National Provider Identifier
1407292550
Registry record updated May 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038012410 Issued in IL
Practice address
541 Rose Dr
Melrose Park, IL 60160-2308
Phone
(847) 873-2498
NPI assigned
May 16, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038012410 IL Primary

Addresses

Primary practice location

541 Rose Dr
Melrose Park, IL 60160-2308

Mailing address

541 Rose Dr
Melrose Park, IL 60160-2308
Phone (847) 873-2498

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131120000092 IL Practitioner - Chiropractic 0345476438 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National University of Arts and Sciences, Medical Department, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

415 W Golf Rd
Arlington Heights, IL 60005-3923
Phone (847) 342-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Foundation Sport & Spine, Inc. CurrentSince Oct 9, 2013 Accepting new patients

Locations

415 W Golf Rd
Ste 12
Arlington Hts, IL 60005
Phone (847) 342-3000

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": "1368662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368662400000",
    "number": "1407292550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 ROSE DR",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601602308",
            "telephone_number": "847-873-2498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 ROSE DR",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601602308",
            "telephone_number": "847-873-2498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORCHER",
        "first_name": "NATHAN",
        "middle_name": "JON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-16",
        "last_updated": "2013-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melrose Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.