Individual provider Active NPI

Jean-Paul Martinet, DC

  • Chiropractor
  • Oakland, CA
National Provider Identifier
1144350042
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13352 Issued in CA
Practice address
1454 Leimert Blvd
Oakland, CA 94602-1806
Phone
(510) 530-3328
Fax
(510) 530-2566
NPI assigned
Mar 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 13352 CA Primary

Addresses

Primary practice location

1454 Leimert Blvd
Oakland, CA 94602-1806

Mailing address

1454 Leimert Blvd
Oakland, CA 94602-1806
Phone (510) 530-3328

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120824000369 CA Practitioner - Chiropractic 4385891498 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1979
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1454 Leimert Blvd
Oakland, CA 94602-1806
Phone (510) 530-3328

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13352CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Martinet Chiropractic Inc Chiropractor CurrentSince May 28, 2012 Accepting new patients

Locations

1454 Leimert Blvd
Oakland, CA 94602
Phone (510) 530-3328

Organizations & group practices 1

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": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144350042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1454 LEIMERT BLVD",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946021806",
            "telephone_number": "510-530-3328",
            "fax_number": "510-530-2566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1454 LEIMERT BLVD",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946021806",
            "telephone_number": "510-530-3328",
            "fax_number": "510-530-2566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINET",
        "first_name": "JEAN-PAUL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "13352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

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.
  • 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.