Portage Chiropractic, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC006906R Issued in PA

Legal business name

PORTAGE CHIROPRACTIC, P.C.

Practice address

808 Caldwell Ave
Suite 102
Portage, PA 15946-1571

Phone

(814) 736-9897

NPI assigned

Jan 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. James M. Herald, D.C.

Title

Owner

Phone

(814) 736-9897

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305590400000",
    "number": "1629128772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 CALDWELL AVE",
            "address_2": "SUITE 102",
            "city": "PORTAGE",
            "state": "PA",
            "postal_code": "159461571",
            "telephone_number": "814-736-9897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 CALDWELL AVE",
            "address_2": "SUITE 102",
            "city": "PORTAGE",
            "state": "PA",
            "postal_code": "159461571",
            "telephone_number": "814-736-9897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTAGE CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2011-05-17",
        "status": "A",
        "authorized_official_last_name": "HERALD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-736-9897",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC006906R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "001455340",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "303267",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016403170004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Marie Phillips, M.P.T.
• Phoenix Rehabilitation and Health Services, Inc.
• Pioneer Medical PA LLC
• Portage Area Ambulance Association
• Portage Area School District
• Portage Podiatry
• Jordan Rochelle Poruban
• Kayla Marie Radcliffe, PTA
• Mark J Ratchford, DO
• Deborah Ann Rauf, PT

• Chiropractor in Portage, PA
• Providers in Portage, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; 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.