KIP C PORTER (NPI# 1770691370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770691370 |
| Entity Type | Individual |
| Full Name | KIP C PORTER |
| Credential | D.C. |
| Practice Address |
275 S Main St Tooele UT 84074-2743 |
| Practice Telephone | 4358330977 |
| Practice Fax Number | 4358330978 |
| Mailing Telephone | 4358330977 |
| Mailing Fax Number | 4358330978 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2007-12-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3361041202 | UT | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | DMBA | 639967 | 01 |
| UT | ALTIUS | QM0000044527 | 01 |
| Street Address |
275 S MAIN ST |
| City | TOOELE |
| State | UT |
| Zip Code | 84074-2743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669580189 | Porter Family Chiropractic Inc | Chiropractor | 275 S Main St, Tooele, UT 84074-2743 | 2006-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689233397 | Leah Elizabeth Harper I | Behavior Technician | 39 Millpond Stansbury Park, Tooele, UT 84074 | 2019-06-07 |
| 1245710789 | Tanna Marie Shelley | Community Health Worker | 27 So Main St, Tooele, UT 84074 | 2018-08-15 |
| 1528548062 | Barbara T Cederlof | Community Health Worker | 27 South Main St., Tooele, UT 84074 | 2018-08-15 |
| 1235615600 | Ashley Christine Wilson | Case Manager/Care Coordinator | 27 South Main, Tooele, UT 84074 | 2018-07-18 |
| 1174016976 | Makenzie Green | Case Manager/Care Coordinator | 27 S Main, Tooele, UT 84074 | 2018-06-07 |
| 1386151835 | Monica Lee | Physical Therapist | 6727 Ut-36 #300, Stansbury Park, UT 84074 | 2018-01-05 |
| 1871976183 | Pagnani Physical Therapy | Physical Therapist | 6727 North State Hwy 36, Suite 300, Stansbury Park, UT 84074 | 2015-07-06 |
| 1407248222 | Pebble Creek Counseling Center | Counselor | 494 E 2400 N Ste B, Tooele, UT 84074 | 2015-03-03 |
| 1528496221 | Emily Carlson | Case Manager/Care Coordinator | 220 North Millpond Rd, Suite 100, Stansbury Park, UT 84074 | 2013-10-16 |
| 1710327218 | Angela Michelle Demoss | Nurse Practitioner | 682 Country Club, Stansbury Park, UT 84074 | 2013-06-28 |
| Find all providers in zip 84074 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760826184 | Headache Relief Specialists LLC | Chiropractor | 1244 No Main, Suite 100, Tooele, UT 84074 | 2013-04-29 |
| 1861534356 | Tooele Valley Spine Center | Chiropractor | 1244 N Main St Ste 100, Tooele, UT 84074-9839 | 2007-02-13 |
| 1942368345 | Devron L. Brown | Chiropractor | 352 N Main St, Tooele, UT 84074-1657 | 2006-12-05 |
| 1407830953 | Glenn Hunter Thompson | Chiropractor | 1244 N Main St, Suite100, Tooele, UT 84074-9838 | 2005-11-29 |
| 1811413909 | Marty Leroy Rueckert | Chiropractor | 250 N Main St, Tooele, UT 84074-1650 | 2017-08-21 |
| 1700135233 | South Jordan Health and Wellness | Chiropractor | 272 N Broadway St, #11, Tooele, UT 84074-2244 | 2012-08-30 |
| 1598995763 | John Todd Mcphie | Chiropractor | 1244 N Main St, Ste 100, Tooele, UT 84074-9839 | 2009-07-21 |
| 1669636817 | Health Source of Tooele Inc | Chiropractor | 352 N Main St, Tooele, UT 84074-1657 | 2008-07-17 |
| 1699953752 | Tooele Family Chiropractic, Inc. | Chiropractor | 134 W 1180 N, Suite #5, Tooele, UT 84074-1483 | 2008-01-31 |
| 1982894499 | Thomas Cole Snyder | Chiropractor | 300 S Main St, Suite Number 2, Tooele, UT 84074-2746 | 2007-07-31 |
| Find all providers in TOOELE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.