Organization Active NPI

Porter Enterprises, Inc

  • Chiropractor
  • Spokane, WA
National Provider Identifier
1669667804
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00001716 Issued in WA
Legal business name
PORTER ENTERPRISES, INC
Practice address
3026 S Grand Blvd
Spokane, WA 99203-2560
Phone
(509) 535-1530
Fax
(509) 533-5325
NPI assigned
Sep 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Dr. Jerry Allen Porter, DC
Title
Chiropractor/ Owner
Phone
(509) 535-1530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH00001716 WA Primary

Addresses

Primary practice location

3026 S Grand Blvd
Spokane, WA 99203-2560

Mailing address

3026 S Grand Blvd
Spokane, WA 99203-2560
Phone (509) 535-1530

Other names 1

  • Corrective Chiropractic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1669667804",
    "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": {
        "organization_name": "PORTER ENTERPRISES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "CHIROPRACTOR/ OWNER",
        "authorized_official_telephone_number": "509-535-1530",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00001716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corrective Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.