Individual provider Active NPI

Stephanie Martin, D.C.

  • Chiropractor
  • Pleasant Hill, CA
National Provider Identifier
1023232394
Registry record updated Jan 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC30181 Issued in CA
Practice address
2350 Monument Boulevard
Suite C
Pleasant Hill, CA 94523-3954
Phone
(925) 676-8200
Fax
(925) 674-9222
NPI assigned
Apr 11, 2007
Last updated
Jan 8, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC30181 CA Primary

Addresses

Primary practice location

2350 Monument Boulevard
Suite C
Pleasant Hill, CA 94523-3954

Mailing address

2452 Cherry Hills Dr
Lafayette, CA 94549-1704
Phone (925) 408-5936

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30181CAMDCounseling Psychologist
DC30181CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389139200000",
    "number": "1023232394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2452 CHERRY HILLS DR",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945491704",
            "telephone_number": "925-408-5936",
            "fax_number": "925-674-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 MONUMENT BOULEVARD",
            "address_2": "SUITE C",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945233954",
            "telephone_number": "925-676-8200",
            "fax_number": "925-674-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2014-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC30181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2014; 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.