Jack K Martin DC PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

JACK K MARTIN DC PLLC

Practice address

12900 S US Highway 27 Ste 1a
Dewitt, MI 48820-8340

Phone

(517) 668-6750

NPI assigned

Sep 12, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Jack K Martin, DCNPI 1700915279

Title

Sole Member

Phone

(517) 668-6750

Specialties & licenses 1

Addresses

Other names 1

• Active Chiropractic of DeWitt Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 3

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

• Jack Kennard Martin, D.C.

  • Chiropractor
  • Dewitt, MI
  • NPI 1700915279
  Medicare reassignment NPD Authorized official
• Randall H Chambers, DC

  • Chiropractor
  • Dewitt, MI
  • NPI 1487957940
  NPD (past)
• Sandra Elaine Warner

  • Massage Therapist
  • Saint Johns, MI
  • NPI 1194599753
  NPD (past)

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

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777939200000",
    "number": "1215587233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12900 S US HIGHWAY 27 STE 1A",
            "city": "DEWITT",
            "state": "MI",
            "postal_code": "488208340",
            "telephone_number": "517-668-6750",
            "fax_number": "517-668-6751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12900 S US HIGHWAY 27 STE 1A",
            "city": "DEWITT",
            "state": "MI",
            "postal_code": "488208340",
            "telephone_number": "517-668-6750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK K MARTIN DC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-12",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "517-668-6750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active Chiropractic of DeWitt",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jenna Moise Holt
• Elizabeth A Howe, R.PH.
• Tanner Huotari, DPT
• Nicole Hussey, DO
• J&W Ventures, Inc.
• Jenna Marie Jaissle
• Nicole Janes, OTR/L
• Janis M. Rygwelski MD, PLLC
• Jdr74 Holdings, LLC
• John M. Hobbs, Jr., M.D., P.C.

• Chiropractor in Dewitt, MI
• Providers in Dewitt, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.