Active NPI
Kevin Earl Martin
- Chiropractor
- Los Angeles, CA
National Provider Identifier
1225162142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 16720
- Practice address
- 2513 Colorado Blvd
Los Angeles, CA 90041-1004 - Phone
- (323) 254-0917
- Fax
- (323) 254-6411
- NPI assigned
- Mar 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 16720 | CA | Primary |
Addresses
Primary practice location
2513 Colorado Blvd
Los Angeles, CA 90041-1004
Mailing address
2513 Colorado Blvd
Los Angeles, CA 90041-1004
Phone (323) 254-0917
Other names 1
- Dr. Kevin Earl Martin
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16720 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345766400000",
"number": "1225162142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2513 COLORADO BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900411004",
"telephone_number": "323-254-0917",
"fax_number": "323-254-6411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2513 COLORADO BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900411004",
"telephone_number": "323-254-0917",
"fax_number": "323-254-6411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "KEVIN",
"middle_name": "EARL",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-15",
"last_updated": "2012-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "16720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KEVIN",
"last_name": "MARTIN",
"middle_name": "EARL",
"prefix": "DR.",
"credential": "D.C.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.