Community Chiropractic-Portage, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08002577A Issued in IN

Legal business name

COMMUNITY CHIROPRACTIC-PORTAGE, P.C.

Practice address

6325 Central Ave
Portage, IN 46368-3801

Phone

(219) 763-7970

Fax

(219) 762-5338

NPI assigned

Feb 15, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Jaclyn R. Stitt, D.C.

Title

Chiropractor

Phone

(219) 763-7970

Specialties & licenses 1

Addresses

Practitioners 2

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

• Jose Cordova, DC

  • Chiropractor
  • Munster, IN
  • NPI 1023190717
  NPD (past)
• David John Cryderman, D.C.

  • Chiropractor
  • Portage, IN
  • NPI 1871502419
  NPD (past)

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

{
    "created_epoch": "1329264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329264000000",
    "number": "1851664270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6325 CENTRAL AVE",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463683801",
            "telephone_number": "219-763-7970",
            "fax_number": "219-762-5338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6325 CENTRAL AVE",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463683801",
            "telephone_number": "219-763-7970",
            "fax_number": "219-762-5338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CHIROPRACTIC-PORTAGE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-15",
        "last_updated": "2012-02-15",
        "status": "A",
        "authorized_official_last_name": "STITT",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "219-763-7970",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002577A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Cochran, ATC, LAT
• Rebecca Colbert
• Abby Collyard
• Hallee Combs
• Community Chiropractic Spine Center
• Compassion in Homecare LLC
• Christina Connelly, FNP-C
• Terria Conwell
• Kylee Cook
• Theresa Annette Cooley, PT

• Chiropractor in Portage, IN
• Providers in Portage, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; 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.