Active NPI
Chad Allen Martin, CHIROPRACTOR
- Chiropractor
- Rochester, WA
National Provider Identifier
1114139441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00002643
- Practice address
- 18234 Sargent Road SW
Rochester, WA 98579 - Phone
- (360) 273-9174
- NPI assigned
- May 7, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH00002643 | WA | Primary |
Addresses
Primary practice location
18234 Sargent Road SW
Rochester, WA 98579
Mailing address
PO Box 954
Rochester, WA 98579-0954
Phone (360) 273-9174
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 78145 | Other | WA | LABOR AND INDUSTRIES |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2643 | WA | MD | Marriage & Family Therapist |
| CH00002643 | WA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114139441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 954",
"city": "ROCHESTER",
"state": "WA",
"postal_code": "985790954",
"telephone_number": "360-273-9174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18234 SARGENT ROAD SW",
"city": "ROCHESTER",
"state": "WA",
"postal_code": "98579",
"telephone_number": "360-273-9174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "CHAD",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "CHIROPRACTOR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00002643",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRIES",
"identifier": "78145",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rochester, WA
Sources for this page
- 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.