Thomas Lee Martens Jr., D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301009008 Issued in MI

Practice address

48378 W. Memorial
Houghton, MI 49931

Phone

(906) 553-2045

Fax

(906) 482-8355

NPI assigned

Jan 22, 2007

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2002

Medicare assignment

May accept Medicare assignment

Group practices

Lake Superior Chiropractic PLLCGroup PAC ID 4880014901, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Lake Superior Chiropractic PLLC

  • Chiropractor
  • Chassell, MI
  • NPI 1699383273
  Medicare reassignment Care Compare group NPD
• Superior Family Chiropractic PLLC

  • Chiropractor
  • Chassell, MI
  • NPI 1013106277
  NPD
• Beauchamp Chiropractic

  • Chiropractor
  • Escanaba, MI
  • NPI 1932500337
  NPD (past)
• Delta Chiropractic Associates,Inc

  • Chiropractor
  • Escanaba, MI
  • NPI 1376765461
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192752000000",
    "number": "1114071925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48378 W. MEMORIAL",
            "city": "HOUGHTON",
            "state": "MI",
            "postal_code": "49931",
            "telephone_number": "906-553-2045",
            "fax_number": "906-482-8355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48378 W. MEMORIAL",
            "city": "HOUGHTON",
            "state": "MI",
            "postal_code": "49931",
            "telephone_number": "906-553-2045",
            "fax_number": "906-482-8355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTENS",
        "first_name": "THOMAS",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00293968",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4775607",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Stephanie Ann McKenzie, PA-C
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• Robert William McMullen, LMSW
• Kimberly Jean Menzel, MSW

• All providers in Houghton, MI
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.