Active NPI
Nicholas Martinez Jr., DC
- Chiropractor
- Bettendorf, IA
National Provider Identifier
1215744271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 129742
- Practice address
- 4479 53Rd Ave
Bettendorf, IA 52722-1300 - Phone
- (563) 723-0004
- NPI assigned
- Dec 13, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 129742 | IA | Primary |
Addresses
Primary practice location
4479 53Rd Ave
Bettendorf, IA 52722-1300
Mailing address
5775 N Brady St Apt 192
Davenport, IA 52806-2271
Phone (630) 815-5247
Other practice location 1
5001 Tremont Ave # 200
Davenport, IA 52807-1006
Phone (563) 306-0801
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health From Within Bettendorf LLC | Chiropractor | Current | Accepting new patients |
Locations
4479 53rd Ave
Bettendorf, IA 52722
Phone (563) 723-0004
Organizations & group practices 1
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.
-
- Chiropractor
- Bettendorf, IA
- NPI 1871241539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734048000000",
"number": "1215744271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5775 N BRADY ST APT 192",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528062271",
"telephone_number": "630-815-5247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4479 53RD AVE",
"city": "BETTENDORF",
"state": "IA",
"postal_code": "527221300",
"telephone_number": "563-723-0004"
}
],
"practiceLocations": [
{
"address_1": "5001 Tremont Ave # 200",
"address_purpose": "LOCATION",
"city": "Davenport",
"state": "IA",
"postal_code": "528071006",
"country_code": "US",
"telephone_number": "563-306-0801",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTINEZ",
"first_name": "NICHOLAS",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-12-13",
"last_updated": "2024-12-13",
"certification_date": "2024-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "129742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bettendorf, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.