PORTAGE CHIROPRACTIC, P.C.
NPI 1629128772
Chiropractor in Portage, PA

Active since January 11, 2007
808 CALDWELL AVE, SUITE 102, PORTAGE, PA 15946(814) 736-9897 Get Directions Write a Review

NPPES record last updated: May 17, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Portage Chiropractic, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PORTAGE CHIROPRACTIC, P.C. (NPI 1629128772) is a healthcare organization registered as a chiropractor in Portage, Pennsylvania and active in the NPI registry since January 2007. The organization lists James M. Herald, Owner, as its authorized official.Information from the official NPPES registry record.

NPPES Registry Identity

NPI1629128772
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NamePORTAGE CHIROPRACTIC, P.C.
Location Address808 CALDWELL AVE, SUITE 102Portage, PA 15946-1571
Mailing Address808 Caldwell Ave, Suite 102Portage, PA 15946-1571 · (814) 736-9897
Organization SubpartNo
Authorized OfficialJames M. HeraldOwner · (814) 736-9897
Enumeration DateJanuary 11, 2007
Last NPPES UpdateMay 17, 2011
NPI 1629128772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in PA · DC006906R
Definition

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.

808 CALDWELL AVE, Portage, PA 15946

Other Identifiers 6

Medicaid0016403170004PA
Medicare ID-Type Unspecified068525PA
Other001455340PA · Blue Cross Blue Shield
Medicare UPINU11900PA
Other303267PA · Upmc
Medicare PIN068525PA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Chiropractor
808 CALDWELL AVE, SUITE 102
PORTAGE, PA 15946

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629128772, enumerated as an "organization" on January 11, 2007.

The provider is located at 808 CALDWELL AVE SUITE 102 PORTAGE, PA 15946 and the phone number is (814) 736-9897.

Chiropractor with taxonomy code 111N00000X.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.