NPIMap

Organization Active NPI

Yvonna Beth Martin

  • Chiropractor
  • Vineland, NJ
National Provider Identifier
1184923005
Registry record updated Apr 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00503300 Issued in NJ
Legal business name
YVONNA BETH MARTIN
Practice address
1419 S Delsea Dr
Vineland, NJ 08360-6253
Phone
(856) 692-2521
Fax
(856) 692-6434
NPI assigned
Mar 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2011

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

Authorized official

Name
Dr. Yvonna Beth Martin, D.C,NPI 1518993690
Title
Owner
Phone
(856) 692-2521

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 38MC00503300 NJ Primary

Addresses

Primary practice location

1419 S Delsea Dr
Vineland, NJ 08360-6253

Mailing address

1419 S Delsea Dr
Vineland, NJ 08360-6253
Phone (856) 692-2521

Other identifiers 1

IdentifierTypeStateIssuer
1184923005OtherNJNPI

Other names 1

  • Back to Chiropractic Center LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1300320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301875200000",
    "number": "1184923005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 S DELSEA DR",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083606253",
            "telephone_number": "856-692-2521",
            "fax_number": "856-692-6434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 S DELSEA DR",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083606253",
            "telephone_number": "856-692-2521",
            "fax_number": "856-692-6434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YVONNA BETH MARTIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-17",
        "last_updated": "2011-04-04",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "YVONNA",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-692-2521",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C,"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00503300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1184923005",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back to Chiropractic Center LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vineland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.