Individual provider Active NPI

David Michael Martens, D.C.

  • Chiropractor
  • Eau Claire, WI
National Provider Identifier
1073874491
Registry record updated Jun 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4822-12 Issued in WI
Practice address
3321 Golf Rd Ste a
Eau Claire, WI 54701-9190
Phone
(715) 832-1953
Fax
(715) 832-0225
NPI assigned
Jun 1, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4822-12 WI Primary

Addresses

Primary practice location

3321 Golf Rd Ste a
Eau Claire, WI 54701-9190

Mailing address

3321 Golf Rd Ste a
Eau Claire, WI 54701-9190
Phone (715) 832-1953

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120723000092 WI Practitioner - Chiropractic 6406012327 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optima Health and Vitality CenterGroup PAC ID 3577545516, 3 clinicians

Practice addresses (Care Compare)

3321 Golf Rd
Suite a
Eau Claire, WI 54701-9190
Phone (715) 832-1953

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optima Medical, LLC Current Accepting new patients
Optima Health & Vitality Center Chiropractor CurrentSince Jun 8, 2012 Accepting new patients

Locations

3321 Golf Rd
Ste A
Eau Claire, WI 54701
Phone (715) 832-1953

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1338508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338508800000",
    "number": "1073874491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3321 GOLF RD STE A",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547019190",
            "telephone_number": "715-832-1953",
            "fax_number": "715-832-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3321 GOLF RD STE A",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547019190",
            "telephone_number": "715-832-1953",
            "fax_number": "715-832-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTENS",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-01",
        "last_updated": "2012-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4822-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

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

Verify at the official NPI Registry.