Individual provider Active NPI

Salvatore J Martingano, D.C.

  • Chiropractor
  • Palm Bay, FL
National Provider Identifier
1013930775
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 5140 Issued in FL
Practice address
1320 Palm Bay Rd NE
Palm Bay, FL 32905-3837
Phone
(321) 729-9430
Fax
(321) 676-6049
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 5140 FL Primary
Chiropractor 111N00000X 1028 SC

Addresses

Primary practice location

1320 Palm Bay Rd NE
Palm Bay, FL 32905-3837

Mailing address

2392 N Riverside Dr
Indialantic, FL 32903-3619
Phone (321) 773-1584

Other identifiers 2

IdentifierTypeStateIssuer
U69410OtherRAILROAD MEDICARE
70731OtherFLBLUE CROSS/SHIELD PROVIDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091123000487 FL Practitioner - Chiropractic 2567501000 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH 5140FLMDChiropractor
1028SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Salvatore J. Martingano, D.C., P.a. Chiropractor CurrentSince Aug 31, 2009 Accepting new patients

Locations

1320 Palm Bay Rd
Palm Bay, FL 32905
Phone (321) 720-4704

Networks

  • FL HMO
  • FL PPO

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1013930775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2392 N RIVERSIDE DR",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329033619",
            "telephone_number": "321-773-1584",
            "fax_number": "321-676-6049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 PALM BAY RD NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329053837",
            "telephone_number": "321-729-9430",
            "fax_number": "321-676-6049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINGANO",
        "first_name": "SALVATORE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 5140",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "1028",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "U69410",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/SHIELD PROVIDE",
            "identifier": "70731",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

  • 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.