Active NPI
Thomas Joseph Martin, DC
- Chiropractor
- Dyersville, IA
National Provider Identifier
1053634410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 007233
- Practice address
- 120 1St Ave W
Dyersville, IA 52040-1103 - Phone
- (563) 543-0536
- Fax
- (563) 875-8482
- NPI assigned
- Mar 12, 2010
- Last updated
- Mar 12, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 | 007233 | IA | Primary |
Addresses
Primary practice location
120 1St Ave W
Dyersville, IA 52040-1103
Mailing address
120 1St Ave W
Dyersville, IA 52040-1103
Phone (563) 543-0536
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2008
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
350 1St Ave E
Dyersville, IA 52040-1203
Phone (563) 875-7340
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kvbdcpc | Chiropractor | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Dyersville, IA
- NPI 1730487364
-
- Chiropractor
- Dyersville, IA
- NPI 1427186048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268352000000",
"number": "1053634410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 1ST AVE W",
"city": "DYERSVILLE",
"state": "IA",
"postal_code": "520401103",
"telephone_number": "563-543-0536",
"fax_number": "563-875-8482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 1ST AVE W",
"city": "DYERSVILLE",
"state": "IA",
"postal_code": "520401103",
"telephone_number": "563-543-0536",
"fax_number": "563-875-8482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "THOMAS",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-12",
"last_updated": "2010-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "007233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dyersville, IA
- Ted Henry Kruse, DPT, CSCS
- Kvbdcpc
- Holly Lieurance, DPT
- Martin Brothers Chiropractic PLLC
- Daniel Frederick Martin, D.C.
- Meisch Chiropractic PC
- Robert Michael Meisch, DC
- Mercy Family Pharmacy (Mercy Family Pharmacy Dyersville)
- Mercy Medical Center-Dubuque
- Mercy Medical Center-Dyersville (MercyOne Dyersville Medical Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2010; 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.