Jerry Alan Porter, CHIROPRACTOR

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00001716 Issued in WA

Practice address

3026 S Grand Blvd
Spokane, WA 99203-2560

Phone

(509) 535-1530

Fax

(509) 533-5325

NPI assigned

Jan 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Evergreen Ultrasound, Inc

  • Sonography Radiologic Technologist
  • Spokane, WA
  • NPI 1144271396
  NPD (past)

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187136000000",
    "number": "1568440832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3026 S GRAND BLVD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992032560",
            "telephone_number": "509-535-1530",
            "fax_number": "509-533-5325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3026 S GRAND BLVD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992032560",
            "telephone_number": "509-535-1530",
            "fax_number": "509-533-5325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "JERRY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "CHIROPRACTOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2007-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00001716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan W Port II, MSW
• Austin M Portch, MA
• Kimberly Anne Kumiko Portch, PA-C
• Porter Enterprises, Inc (Corrective Chiropractic)
• James J Porter, DPM
• Shanna Brielle Porter, LICSW
• Tracy Porter, RN
• Quintin Porterfield
• Miguel Posada, APRN
• Quentin Posada

• Chiropractor in Spokane, WA
• Providers in Spokane, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.

Verify at the official NPI Registry.