Organization Active NPI

Porterfield Family Chiropractic PC

  • Chiropractor
  • Valparaiso, IN
National Provider Identifier
1760805832
Registry record updated Apr 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002471A Issued in IN
Legal business name
PORTERFIELD FAMILY CHIROPRACTIC PC
Practice address
503 Silhavy Rd
Suite A104
Valparaiso, IN 46383-4494
Phone
(219) 850-1031
NPI assigned
Jan 27, 2014
Last updated
Apr 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2014

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

Authorized official

Name
Ryan Porterfield, D.C.NPI 1467785733
Title
Owner/Medical Director
Phone
(219) 850-1031

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08002471A IN Primary

Addresses

Primary practice location

503 Silhavy Rd
Suite A104
Valparaiso, IN 46383-4494

Mailing address

503 Silhavy Rd
Suite A104
Valparaiso, IN 46383-4494
Phone (219) 850-1031

Other identifiers 2

IdentifierTypeStateIssuer
000000858101OtherINANTHEM
201209660AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140314001943 IN Part B Supplier - Clinic/Group Practice 2163653197 Receives reassigned benefits from 2 practitioners
Practice locations: Valparaiso, IN

National Provider Directory

National Provider Directory

Locations

1550 Clark Rd
Valparaiso, IN 46385
Phone (219) 850-1031

503 Silhavy Rd
Ste A104
Valparaiso, IN 46383
Phone (219) 850-1031

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1390780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398384000000",
    "number": "1760805832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 SILHAVY RD",
            "address_2": "SUITE A104",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463834494",
            "telephone_number": "219-850-1031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 SILHAVY RD",
            "address_2": "SUITE A104",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463834494",
            "telephone_number": "219-850-1031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTERFIELD FAMILY CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-27",
        "last_updated": "2014-04-25",
        "status": "A",
        "authorized_official_last_name": "PORTERFIELD",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "219-850-1031",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002471A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000858101",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201209660A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2014; 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.