Gregory Kyle Martin, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00034609 Issued in WA

Practice address

460 228TH Ave NE
Sammamish, WA 98074-7209

Phone

(142) 586-8902

Fax

(142) 543-2144

NPI assigned

Aug 30, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Precision Chiropractic. PS

  • Chiropractor
  • Sammamish, WA
  • NPI 1104947803
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093824245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 228TH AVE NE",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980747209",
            "telephone_number": "425-868-9025",
            "fax_number": "425-432-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 228TH AVE NE",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980747209",
            "telephone_number": "142-586-8902",
            "fax_number": "142-543-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "GREGORY",
        "middle_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Millicent Mackonya, CB
• Margaret Piela Consulting PLLC
• Margaret Piela LMHC PLLC
• Debra M Marovich, RPH
• Eda V Martin, RDN, MS, CD
• Tracey Diane Martin, MS, CN
• Emily K Matson, MS, RDN, CD
• David McAuley, MD
• Jacob McComas
• Matthew McCommons, LMT

• Chiropractor in Sammamish, WA
• Providers in Sammamish, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.