Individual provider Active NPI

Martine Romi Wayne, D.C

  • Pediatric Chiropractor
  • Laguna Beach, CA
National Provider Identifier
1215182050
Registry record updated Nov 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric ChiropractorTaxonomy code 111NP0017X
License
DC-30965 Issued in CA
Practice address
1100 S Coast Hwy Ste 215
Laguna Beach, CA 92651-2970
Phone
(949) 376-3030
Fax
(949) 376-3028
NPI assigned
Nov 20, 2008
Last updated
Nov 20, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X DC-30965 CA
Pediatric Chiropractor 111NP0017X DC-30965 CA Primary

Addresses

Primary practice location

1100 S Coast Hwy Ste 215
Laguna Beach, CA 92651-2970

Mailing address

1100 S Coast Hwy Ste 215
Laguna Beach, CA 92651-2970
Phone (949) 376-3030

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

State licenses

LicenseStateTypeSpecialty
DC-30965CAMDPediatric Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227139200000",
    "number": "1215182050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 S COAST HWY STE 215",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926512970",
            "telephone_number": "949-376-3030",
            "fax_number": "949-376-3028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S COAST HWY STE 215",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926512970",
            "telephone_number": "949-376-3030",
            "fax_number": "949-376-3028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAYNE",
        "first_name": "MARTINE",
        "middle_name": "ROMI",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-20",
        "last_updated": "2008-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "DC-30965",
            "primary": false
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "CA",
            "license": "DC-30965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; 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.