Jeffrey Porter DC LLC.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

7252 Issued in AZ

Legal business name

JEFFREY PORTER DC LLC.

Doing business as

Porter Chiropractic

Practice address

919 N Dysart Rd Ste C
Avondale, AZ 85323-1711

Phone

(623) 882-2121

Fax

(623) 882-2123

NPI assigned

May 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey D Porter, D.ONPI 1780696658

Title

Doctor

Phone

(623) 882-2121

Specialties & licenses 1

Addresses

Other names 1

• Porter Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

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

• Jeffrey D Porter, D.O

  • Chiropractor
  • Avondale, AZ
  • NPI 1780696658
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376352000000",
    "number": "1538360375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 N DYSART RD",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853231711",
            "telephone_number": "623-882-2121",
            "fax_number": "623-882-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 N DYSART RD STE C",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853231711",
            "telephone_number": "623-882-2121",
            "fax_number": "623-882-2123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY PORTER DC LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2013-08-13",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "623-882-2121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Porter Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Goshtasb Javdan, M.D.
• JB Healthcare LLC (Little Start Pediatrics)
• Jessie Jean-Rush, M.D.
• Rictya Jefferson
• Jeffrey a. Trinka, P.C. (Goodyear Chiropractic Clinic)
• Dominiqiue Janay Jenkins
• Emma Jennings
• Amy Elizabeth Jensby, DMD
• Brian Thomas Jensen, PA-C
• Liseth Joaquin

• Chiropractor in Avondale, AZ
• Providers in Avondale, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.