Organization Active NPI

Martini Chiropractic Center Inc.

  • Chiropractor
  • Rocky Mount, NC
National Provider Identifier
1104905488
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2694 Issued in NC
Legal business name
MARTINI CHIROPRACTIC CENTER INC.
Practice address
988 N Winstead Ave
Rocky Mount, NC 27804-8760
Phone
(252) 443-5177
Fax
(252) 443-7914
NPI assigned
Nov 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Authorized official

Name
Dr. Dale Martini, DCNPI 1992720171
Title
President
Phone
(252) 443-5177

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2694 NC Primary

Addresses

Primary practice location

988 N Winstead Ave
Rocky Mount, NC 27804-8760

Mailing address

988 N Winstead Ave
Rocky Mount, NC 27804-8760
Phone (252) 443-5177

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170323001343 NC Part B Supplier - Clinic/Group Practice 8022393578 Receives reassigned benefits from 1 practitioner
Practice locations: Rocky Mount, NC

National Provider Directory

National Provider Directory

Locations

988 N Winstead Ave
Rocky Mount, NC 27804
Phone (252) 443-5177

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1104905488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "988 N WINSTEAD AVE",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278048760",
            "telephone_number": "252-443-5177",
            "fax_number": "252-433-7914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "988 N WINSTEAD AVE",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278048760",
            "telephone_number": "252-443-5177",
            "fax_number": "252-443-7914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTINI CHIROPRACTIC CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "MARTINI",
        "authorized_official_first_name": "DALE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-443-5177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.