Active NPI
Jared D Martin
- Social Worker
- Indianapolis, IN
National Provider Identifier
1043030331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 99127605A
- Practice address
- 8520 Allison Pointe Blvd Ste 220
Indianapolis, IN 46250-4299 - Phone
- (317) 992-1914
- NPI assigned
- Oct 12, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 99127605A | IN | Primary |
Addresses
Primary practice location
8520 Allison Pointe Blvd Ste 220
Indianapolis, IN 46250-4299
Mailing address
1515 Lewis St Apt 428
Indianapolis, IN 46202-4181
Phone (765) 702-0101
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 99127605A | IN | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728864000000",
"number": "1043030331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 LEWIS ST APT 428",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462024181",
"telephone_number": "765-702-0101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8520 ALLISON POINTE BLVD STE 220",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462504299",
"telephone_number": "317-992-1914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "JARED",
"middle_name": "D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-10-12",
"last_updated": "2024-10-14",
"certification_date": "2024-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IN",
"license": "99127605A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.