Organization Active NPI

John M Portera DPM LTD

  • Podiatrist
  • Greenville, MS
National Provider Identifier
1457528564
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
80037 Issued in MS
Legal business name
JOHN M PORTERA DPM LTD
Practice address
1175 S Main St
Greenville, MS 38701-6337
Phone
(662) 335-5872
NPI assigned
May 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Authorized official

Name
Dr. John M Portera, DPM
Title
Owner
Phone
(662) 335-5872

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 80037 MS Primary

Addresses

Primary practice location

1175 S Main St
Greenville, MS 38701-6337

Mailing address

1175 S Main St
Greenville, MS 38701-6337
Phone (662) 335-5872

National Provider Directory

National Provider Directory

Locations

1175 S Main St
Greenville, MS 38701
Phone (601) 335-5872

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1457528564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 S MAIN ST",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387016337",
            "telephone_number": "662-335-5872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 S MAIN ST",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387016337",
            "telephone_number": "662-335-5872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN M PORTERA DPM LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "PORTERA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-335-5872",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MS",
            "license": "80037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.