Active NPI
Carlette Martin
- Chiropractor
- Oak Brook, IL
National Provider Identifier
1154743524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038012361
- Practice address
- 2210 Camden CT
Oak Brook, IL 60523-1272 - Phone
- (630) 468-1820
- Fax
- (630) 701-1007
- NPI assigned
- Jan 20, 2014
- Sex
- Female
- 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 | 038012361 | IL | Primary |
Addresses
Primary practice location
2210 Camden CT
Oak Brook, IL 60523-1272
Mailing address
2625 Butterfield Rd
Ste 301N
Oak Brook, IL 60523-1234
Phone (630) 468-1824
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Immediate Pain Care of Oak Brook | Past | Accepting new patients |
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.
-
- Pain Medicine Physician
- Oak Brook, IL
- NPI 1871903302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390176000000",
"number": "1154743524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2625 BUTTERFIELD RD",
"address_2": "STE 301N",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231234",
"telephone_number": "630-468-1824",
"fax_number": "630-701-1007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2210 CAMDEN CT",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231272",
"telephone_number": "630-468-1820",
"fax_number": "630-701-1007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "CARLETTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-20",
"last_updated": "2014-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038012361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Brook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.