Manitowoc Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

MANITOWOC CHIROPRACTIC LLC

Practice address

1 E Waldo Blvd Ste 1
Manitowoc, WI 54220-2912

Phone

(920) 683-3800

NPI assigned

Oct 16, 2023

Organization subpart

No

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

Authorized official

Name

Dr. David John Portmann, DCNPI 1073534616

Title

Chiropractor

Phone

(920) 683-3800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 1

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

• David John Portmann, D.C.

  • Chiropractor
  • Howards Grove, WI
  • NPI 1073534616
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1962284059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E WALDO BLVD STE 1",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542202912",
            "telephone_number": "920-683-3800",
            "fax_number": "920-683-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E WALDO BLVD STE 1",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542202912",
            "telephone_number": "920-683-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANITOWOC CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-16",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A",
        "authorized_official_last_name": "PORTMANN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "920-683-3800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Mahler
• Renee Marie Maigatter, D.C.
• Andrew Allen Malkowski, APNP
• Rachel Marie Maltby, DPT
• Julie A Maney, CSW
• Manitowoc Co Human Services Dept
• Manitowoc Co Human Services Dept.
• Manitowoc County Courthouse Comptrollers Office
• Manitowoc County Health Department
• Manitowoc County Human Services Dept.

• Chiropractor in Manitowoc, WI
• Providers in Manitowoc, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.