Active NPI
John Roland Porterfield, D.M.D
- Endodontics
- Montgomery, AL
National Provider Identifier
1710073754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 2874
- Practice address
- 1555 E Trinity Blvd
Montgomery, AL 36106-3802 - Phone
- (334) 277-1354
- NPI assigned
- Oct 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 2874 | AL | Primary |
Addresses
Primary practice location
1555 E Trinity Blvd
Montgomery, AL 36106-3802
Mailing address
1555 E Trinity Blvd
Montgomery, AL 36106-3802
Phone (334) 277-1354
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Nov 11, 2015 through Nov 11, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2874 | AL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710073754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1555 E TRINITY BLVD",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361063802",
"telephone_number": "334-277-1354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1555 E TRINITY BLVD",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361063802",
"telephone_number": "334-277-1354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTERFIELD",
"first_name": "JOHN",
"middle_name": "ROLAND",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "AL",
"license": "2874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montgomery, AL
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.