Individual provider Active NPI

Nicholaus Allen Martin, DC

  • Chiropractor
  • Olympia, WA
National Provider Identifier
1194497685
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH61218402 Issued in WA
Practice address
1800 Cooper Point Rd SW Ste 24a
Olympia, WA 98502-1039
Phone
(360) 940-7360
NPI assigned
Oct 2, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH61218402 WA Primary

Addresses

Primary practice location

1800 Cooper Point Rd SW Ste 24a
Olympia, WA 98502-1039

Mailing address

1800 Cooper Point Rd SW Ste 24a
Olympia, WA 98502-1039
Phone (360) 623-2237

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211112002374 WA Practitioner - Chiropractic 2466841481 Reassigns benefits to 3 organizations
Practice locations: Toledo, WA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 S 3Rd St Unit
Suite 100
Toledo, WA 98591
Phone (360) 815-1697

1800 Cooper Point Rd SW
Suite 24a
Olympia, WA 98502-1039
Phone (360) 943-7360

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH61218402WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Olympic View Chiropractic, PS Chiropractor CurrentSince Sep 1, 2021 Accepting new patients
Kudick Chiropractic P.S. Chiropractor CurrentSince Oct 18, 2022 Accepting new patients
Balance Chiropractic Chiropractor CurrentSince Nov 18, 2025 Accepting new patients
On-Site Massage, Inc. Past Accepting new patients

Locations

626 128th St SW
Ste 103B
Everett, WA 98204
Phone (425) 513-1880

1800 Cooper Point Rd SW
Ste 24A
Olympia, WA 98502
Phone (360) 358-3179

Organizations & group practices 5

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": "1633132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1194497685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 COOPER POINT RD SW STE 24A",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985021039",
            "telephone_number": "360-623-2237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 COOPER POINT RD SW STE 24A",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985021039",
            "telephone_number": "360-940-7360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "NICHOLAUS",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-02",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH61218402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.