Active NPI
Kelsey Chae Martin, DC
- Chiropractor
- Bridgeport, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1094
- Practice address
- 529 E Main St
Bridgeport, WV 26330-1824 - Phone
- (304) 842-4202
- NPI assigned
- Sep 7, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1094 | WV | Primary |
Addresses
Primary practice location
529 E Main St
Bridgeport, WV 26330-1824
Mailing address
42 Spruce RDG
Hurricane, WV 25526-8410
Phone (304) 400-3548
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 2019
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
100 Westmoreland Office Park
Dunbar, WV 25064-2725
Phone (304) 768-5068
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mike Mason Chiropractic PLLC | Chiropractor | Current | Accepting new patients |
| Russell L Jones D C Chiropractic Corporation | Chiropractor | Current | Accepting new patients |
Locations
529 E Main St
Bridgeport, WV 26330
Phone (304) 376-9792
100 Westmoreland Office Park
Dunbar, WV 25064
Phone (304) 768-5068
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Dunbar, WV
- NPI 1598866857
-
- Chiropractor
- Bridgeport, WV
- NPI 1255388971
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- South Charleston, WV
- NPI 1316925506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694044800000",
"number": "1013793843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 SPRUCE RDG",
"city": "HURRICANE",
"state": "WV",
"postal_code": "255268410",
"telephone_number": "304-400-3548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "529 E MAIN ST",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "263301824",
"telephone_number": "304-842-4202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "KELSEY",
"middle_name": "CHAE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-07",
"last_updated": "2023-09-07",
"certification_date": "2023-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WV",
"license": "1094",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bridgeport, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.