Active NPI
L Jon Porman, D.C.
- Sports Physician Chiropractor
- Gilbert, AZ
National Provider Identifier
1538386248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 5435
- Practice address
- 1425 W Elliot Rd
Ste 203
Gilbert, AZ 85233-5129 - Phone
- (480) 812-9000
- NPI assigned
- Apr 20, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 5435 | AZ | Primary |
Addresses
Primary practice location
1425 W Elliot Rd
Ste 203
Gilbert, AZ 85233-5129
Mailing address
319 W Verano PL
Gilbert, AZ 85233-7331
Phone (480) 545-7270
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0932790 | Other | AZ | BLUECROSS BLUESHIELD |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5435 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Loth Sports & Family Chiropractic Inc | Sports Physician | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Sports Physician Chiropractor
- Gilbert, AZ
- NPI 1235303744
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1538386248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "319 W VERANO PL",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852337331",
"telephone_number": "480-545-7270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 W ELLIOT RD",
"address_2": "STE 203",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852335129",
"telephone_number": "480-812-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORMAN",
"first_name": "L",
"middle_name": "JON",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "AZ",
"license": "5435",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "AZ0932790",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.