Jeffrey D Porter, D.O

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

7252 Issued in AZ

Practice address

919 N Dysart Rd
Avondale, AZ 85323-1711

Phone

(623) 882-2121

Fax

(623) 882-2123

NPI assigned

Aug 12, 2006

Last updated

Aug 13, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jeffrey D Porter Former name

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jeffrey Porter DC LLC.

  dba Porter Chiropractic

  • Chiropractor
  • Avondale, AZ
  • NPI 1538360375
  Medicare reassignment NPD Authorized official
• Porter Chiropractic Center LLC.

  • Chiropractor
  • Avondale, AZ
  • NPI 1932319175
  Authorized official Same address or phone

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376352000000",
    "number": "1780696658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 N DYSART RD",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853231711",
            "telephone_number": "623-882-2121",
            "fax_number": "623-882-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 N DYSART RD",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853231711",
            "telephone_number": "623-882-2121",
            "fax_number": "623-882-2123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "JEFFREY",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2013-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEFFREY",
            "last_name": "PORTER",
            "middle_name": "D",
            "credential": "D.O",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pongratz Orthotics & Prosthetics, Inc.
• Lisa M Poormon, P.T.
• Emma Popalardo
• Cynthia Popoff, HIS
• Porter Chiropractic Center LLC.
• Shelby Porter, PT
• Andrea Samantha Portillo
• Stephanie Amaris Portillo, LCSW
• Elizabeth Powell
• Brynn Powers

• Chiropractor in Avondale, AZ
• Providers in Avondale, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.