Active NPI
Martin Stine, D.C.
- Neurology Chiropractor
- Davenport, IA
National Provider Identifier
1053416180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Chiropractor
- License
- A06075
- Practice address
- 400 N Main St
Suite 104
Davenport, IA 52801-1417 - Phone
- (563) 324-8888
- Fax
- (563) 324-8888
- NPI assigned
- Sep 13, 2006
- 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 |
|---|---|---|---|---|
| Neurology Chiropractor | 111NN0400X | A06075 | IA | Primary |
Addresses
Primary practice location
400 N Main St
Suite 104
Davenport, IA 52801-1417
Mailing address
400 N Main St
Suite 104
Davenport, IA 52801-1417
Phone (563) 324-8888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1997
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1226 W Ash St
Suite a
Windsor, CO 80550-4657
Phone (970) 460-0168
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stine Chiropractic Health and Wellness Clinic, P.C. | Past | Accepting new patients | |
| Rocky Mountain Chiropractic and Sports Injury Centers | Past | Accepting new patients |
Organizations & group practices 3
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
- Windsor, CO
- NPI 1568840171
-
- Chiropractor
- Windsor, CO
- NPI 1194981159
-
- Clinic/Center
- Windsor, CO
- NPI 1447491352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328832000000",
"number": "1053416180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 N MAIN ST",
"address_2": "SUITE 104",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528011417",
"telephone_number": "563-324-8888",
"fax_number": "563-324-8888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N MAIN ST",
"address_2": "SUITE 104",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528011417",
"telephone_number": "563-324-8888",
"fax_number": "563-324-8888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STINE",
"first_name": "MARTIN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-13",
"last_updated": "2012-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "IA",
"license": "A06075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davenport, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2012; 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.