Individual provider Active NPI

Nicholas Martinez Jr., DC

  • Chiropractor
  • Bettendorf, IA
National Provider Identifier
1215744271
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
129742 Issued in IA
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

Updated by the provider on Dec 13, 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 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

OrganizationSpecialtyStatusNew patients
Health From Within Bettendorf LLC Chiropractor CurrentSince Dec 5, 2024 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.

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.

Verify at the official NPI Registry.