Tracie K Martin, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

24744 Issued in CA

Practice address

2930 Main St
Soquel, CA 95073

Phone

(831) 475-2230

Fax

(831) 475-1962

NPI assigned

Dec 27, 2006

Last updated

Mar 4, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alexander Wulff

  • Exclusive Provider Organization
  • Capitola, CA
  • NPI 1114301447
  NPD (past)

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204588800000",
    "number": "1205991304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 MAIN ST",
            "city": "SOQUEL",
            "state": "CA",
            "postal_code": "95073",
            "telephone_number": "831-475-2230",
            "fax_number": "831-475-1962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 MAIN ST",
            "city": "SOQUEL",
            "state": "CA",
            "postal_code": "95073",
            "telephone_number": "831-475-2230",
            "fax_number": "831-475-1962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "TRACIE",
        "middle_name": "K",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2008-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "24744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marsea S. Marcus, LMFT
• Shirley Laden Marcus, LMFT
• Paige Lorraine Marshall, RADT
• Amber Martin
• Halimah Martin, CNM
• Ana Martinez
• Susan Matsui, LCSW, PPSC
• MC Surgical LLC
• Lisa Marie McConnell, FNP-BC
• Jill Suzanne McCormick, P.T.

• Chiropractor in Soquel, CA
• Providers in Soquel, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; 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.