Active NPI
David Andrew Martin
- Contractor
- La Jara, CO
National Provider Identifier
1225529688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- Practice address
- 15310 CR T.37
La Jara, CO 81140 - Phone
- (719) 580-6947
- NPI assigned
- May 22, 2018
- 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 |
|---|---|---|---|---|
| Contractor | 171W00000X | Primary |
Addresses
Primary practice location
15310 CR T.37
La Jara, CO 81140
Mailing address
PO Box 207
La Jara, CO 81140-0207
Phone (719) 580-6947
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526947200000",
"number": "1225529688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 207",
"city": "LA JARA",
"state": "CO",
"postal_code": "811400207",
"telephone_number": "719-580-6947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15310 CR T.37",
"city": "LA JARA",
"state": "CO",
"postal_code": "81140",
"telephone_number": "719-580-6947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "DAVID",
"middle_name": "ANDREW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-05-22",
"last_updated": "2018-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Jara, CO
- David L Lenderts, MD
- Lutheran Hospital Association of the San Luis Valley
- Lutheran Hospital Association of the San Luis Valley
- Lutheran Hospital Association of the San Luis Valley
- Lutheran Hospital Association of the San Luis Valley
- Thomas Edgar McWilliams, D.O.
- Mindcare Solutions PC
- Shannon Laurie Muniz, FNP
- Donna Nelson, MD
- Rio Grande Inn, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.