Portland Chiropractic Center, LTD.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

9414 Issued in TX

Legal business name

PORTLAND CHIROPRACTIC CENTER, LTD.

Practice address

4535 South Padre Island Drive
Ste. 12
Corpus Christi, TX 78411-4436

Phone

(361) 854-7748

Fax

(361) 356-3975

NPI assigned

Feb 22, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Susan E Hawkins

Title

Office Manager

Phone

(361) 813-6238

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Adobe Chiropractic Doing business as

Locations

Practitioners 1

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

• Stacey E Glines, DC

  • Chiropractor
  • Bedford, TX
  • NPI 1710088497
  NPD (past)

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1992830681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4535 SOUTH PADRE ISLAND DRIVE",
            "address_2": "STE. 12",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114436",
            "telephone_number": "361-854-7748",
            "fax_number": "361-356-3975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4535 SOUTH PADRE ISLAND DRIVE",
            "address_2": "STE. 12",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114436",
            "telephone_number": "361-854-7748",
            "fax_number": "361-356-3975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTLAND CHIROPRACTIC CENTER, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2012-03-30",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "361-813-6238",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0059NJ",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adobe Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Norberto Portales
• Tashenina Porter-Lloyd
• John Richard Porter, MD
• Mary Beth Porter, MA, LCDC, LPC ASSOC
• Sandra Portillo-Barrera, CFNP
• James Hampton Posey, DC
• Positive Health Management
• Sara Posson, MS, LAT, ATC
• Post Acute Medical Rehabilitation Hospital of Corpus Christi, LLC
• Post Acute Specialty Hospital of Corpus Christi LLC

• All providers in Corpus Christi, TX
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.