Active NPI
Porcha Anderson, DC
- Chiropractor
- Dallas, TX
National Provider Identifier
1417463498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 13655
- Practice address
- 2300 W Illinois Ave
Dallas, TX 75224-1638 - Phone
- (214) 942-8999
- Fax
- (214) 331-7273
- NPI assigned
- Dec 28, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 13655 | TX | Primary |
Addresses
Primary practice location
2300 W Illinois Ave
Dallas, TX 75224-1638
Mailing address
2300 W Illinois Ave
Dallas, TX 75224-1638
Phone (214) 942-8999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13655 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Align Spine and Sports Rehab, PLLC | Chiropractor | Current | Accepting new patients |
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.
-
- Rehabilitation Chiropractor
- Desoto, TX
- NPI 1295302347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514419200000",
"number": "1417463498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 W ILLINOIS AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752241638",
"telephone_number": "214-942-8999",
"fax_number": "214-331-7273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 W ILLINOIS AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752241638",
"telephone_number": "214-942-8999",
"fax_number": "214-331-7273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "PORCHA",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-28",
"last_updated": "2017-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "13655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.