Individual provider Active NPI

Mariella Martinez-Navarro, D.C.

  • Chiropractor
  • Auburn, NY
National Provider Identifier
1225358203
Registry record updated Aug 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X012179-1 Issued in NY
Practice address
125 Murray St
Auburn, NY 13021-1311
Phone
(787) 360-0819
NPI assigned
Jun 1, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X012179-1 NY Primary
Independent Medical Examiner Chiropractor 111NI0013X X012179-1 NY

Addresses

Primary practice location

125 Murray St
Auburn, NY 13021-1311

Mailing address

2200 N Ponce de Leon Blvd
Suite #1
St Augustine, FL 32084-2600
Phone (787) 360-0819

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
X012179-1NYMDIndependent Medical Examiner Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1275350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344902400000",
    "number": "1225358203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 N PONCE DE LEON BLVD",
            "address_2": "SUITE #1",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320842600",
            "telephone_number": "787-360-0819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 MURRAY ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130211311",
            "telephone_number": "787-360-0819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ-NAVARRO",
        "first_name": "MARIELLA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-01",
        "last_updated": "2012-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X012179-1",
            "primary": true
        },
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "NY",
            "license": "X012179-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.

Verify at the official NPI Registry.