Individual provider Active NPI

Martha Frith Palm, DC

  • Chiropractor
  • Novato, CA
National Provider Identifier
1073703351
Registry record updated Aug 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CA15207 Issued in CA
Practice address
14 Erica Court
Novato, CA 94947-1900
Phone
(415) 898-1699
Fax
(415) 899-8013
NPI assigned
Aug 1, 2007
Last updated
Aug 1, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CA15207 CA Primary

Addresses

Primary practice location

14 Erica Court
Novato, CA 94947-1900

Mailing address

14 Erica Court
Novato, CA 94947-1900
Phone (415) 898-1699

Other identifiers 1

IdentifierTypeStateIssuer
CA15207OtherLICENSE NUMBER

Other names 1

  • Martha Baskin Frith Palm Former name

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

LicenseStateTypeSpecialty
CA15207CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185926400000",
    "number": "1073703351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 ERICA COURT",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949471900",
            "telephone_number": "415-898-1699",
            "fax_number": "415-899-8013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 ERICA COURT",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949471900",
            "telephone_number": "415-898-1699",
            "fax_number": "415-899-8013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALM",
        "first_name": "MARTHA",
        "middle_name": "FRITH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-01",
        "last_updated": "2007-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "CA15207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "CA15207",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTHA",
            "last_name": "PALM",
            "middle_name": "BASKIN FRITH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Novato, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2007; 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.