Individual provider Active NPI

Heather Ann Martin, D.C.

  • Chiropractor
  • Medina, TN
National Provider Identifier
1144552878
Registry record updated Dec 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2406 Issued in TN
Practice address
611 Highway 45 Byp S
Medina, TN 38355-9629
Phone
(731) 783-0602
Fax
(731) 783-0604
NPI assigned
Feb 5, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2406 TN Primary

Addresses

Primary practice location

611 Highway 45 Byp S
Medina, TN 38355-9629

Mailing address

611 Highway 45 Byp S
Medina, TN 38355-9629
Phone (731) 783-0602

Other names 1

  • Heather Ann Dillon Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110823000649 TN Practitioner - Chiropractic 0840460200 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Medina Family Chiropractic LLCGroup PAC ID 0143524652, 2 clinicians

Practice addresses (Care Compare)

611 Hwy 45 Byp S
Medina, TN 38355-9629
Phone (731) 783-0602

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2406TNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Medina Family Chiropractic LLC Chiropractor CurrentSince Jan 1, 2016 Accepting new patients
Peak Performance Physical Therapy PC PastSince Jul 19, 1996 Accepting new patients
Martin Family Chiropractic Chiropractor PastSince Oct 23, 2011 Accepting new patients

Locations

611 Hwy 45E S
Medina, TN 38355
Phone (731) 783-0602

Organizations & group practices 3

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": "1265328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449273600000",
    "number": "1144552878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 HIGHWAY 45 BYP S",
            "city": "MEDINA",
            "state": "TN",
            "postal_code": "383559629",
            "telephone_number": "731-783-0602",
            "fax_number": "731-783-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 HIGHWAY 45 BYP S",
            "city": "MEDINA",
            "state": "TN",
            "postal_code": "383559629",
            "telephone_number": "731-783-0602",
            "fax_number": "731-783-0604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "HEATHER",
        "middle_name": "ANN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-05",
        "last_updated": "2015-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "DILLON",
            "middle_name": "ANN",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Medina, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2015; 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.