Porter Family Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3361041202 Issued in UT

Legal business name

PORTER FAMILY CHIROPRACTIC INC

Practice address

275 S Main St
Tooele, UT 84074-2743

Phone

(435) 833-0977

Fax

(435) 833-0978

NPI assigned

Aug 25, 2006

Organization subpart

No

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

Authorized official

Name

Kip C Porter, D.C.NPI 1770691370

Title

President

Phone

(435) 833-0977

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in UT

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.

• Kip C Porter, D.C.

  • Chiropractor
  • Tooele, UT
  • NPI 1770691370
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1669580189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 S MAIN ST",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840742743",
            "telephone_number": "435-833-0977",
            "fax_number": "435-833-0978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 S MAIN ST",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840742743",
            "telephone_number": "435-833-0977",
            "fax_number": "435-833-0978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTER FAMILY CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "KIP",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "435-833-0977",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "3361041202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMBA",
            "identifier": "639967",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "52098227701001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALTIUS",
            "identifier": "QM0000044527",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holly Ryan Peterson
• Addison Pickering
• Pine Mountain Home Health, LLC
• Barry Vern Pitt
• John Piz
• Brett Cardon Porter, MD
• Kip C Porter, D.C.
• Mikayla Ann Porter
• Monica Porter
• Adreanne Jade Powell

• Chiropractor in Tooele, UT
• Providers in Tooele, UT by specialty
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.