Eugene Dale Martin, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2129 Issued in WI

Practice address

134 S Main St
Greenwood, WI 54437-0214

Phone

(715) 267-7890

NPI assigned

Apr 18, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Gene Dale Martin Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1003032731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W3734 ROCK CREEK RD",
            "city": "LOYAL",
            "state": "WI",
            "postal_code": "54446",
            "telephone_number": "715-267-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 S MAIN ST",
            "city": "GREENWOOD",
            "state": "WI",
            "postal_code": "544370214",
            "telephone_number": "715-267-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "EUGENE",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38911700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GENE",
            "last_name": "MARTIN",
            "middle_name": "DALE",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Greenwood Area Ambulance Serv (Greenwood Fire & Ambulance Association)
• Greenwood School District
• Gary J Janssen, MD
• Tiffany Luckey
• Marshfield Clinic, Inc. (Marshfield Clinic Greenwood Center)
• Memorial Hospital Inc (Marshfield Clinic Greenwood Center)
• Memorial Hospital, Inc. (Memorial Medical Center)
• Phillip Opelt, DC
• Dorothy Jean Roback, APNP
• Amanda Ruff, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.