Porter Chiropractic Clinic PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

01-04311 Issued in KS

Legal business name

PORTER CHIROPRACTIC CLINIC PA

Practice address

121 S. Christian Ave.
Moudridge, KS 67107-0743

Phone

(620) 345-3000

Fax

(620) 345-3042

NPI assigned

Sep 12, 2006

Last updated

Dec 10, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Leland L Porter, D.C.NPI 1841394947

Title

President

Phone

(620) 345-3000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

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.

• Leland L Porter, D.C.

  • Chiropractor
  • Moundridge, KS
  • NPI 1841394947
  Medicare reassignment NPD Authorized official
• Michelle M Porter, OTR

  • Pediatric Occupational Therapist
  • Moundridge, KS
  • NPI 1700989266
  NPD (past)

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291939200000",
    "number": "1861596561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 S. CHRISTIAN AVE.",
            "address_2": "P.O. BOX 743",
            "city": "MOUNDRIDGE",
            "state": "KS",
            "postal_code": "671070743",
            "telephone_number": "620-345-3000",
            "fax_number": "620-345-3042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S. CHRISTIAN AVE.",
            "city": "MOUDRIDGE",
            "state": "KS",
            "postal_code": "671070743",
            "telephone_number": "620-345-3000",
            "fax_number": "620-345-3042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTER CHIROPRACTIC CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2010-12-10",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "LELAND",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "620-345-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-04311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2010; 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.