Individual provider Active NPI

Martin William Warren, D.C.

  • Chiropractor
  • Tampa, FL
National Provider Identifier
1235365339
Registry record updated Apr 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9734 Issued in FL
Practice address
3612 S. Dale Mabry Hwy, Unit a
Tampa, FL 33629-1001
Phone
(813) 374-0116
Fax
(813) 443-4875
NPI assigned
Jun 3, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH9734 FL Primary

Addresses

Primary practice location

3612 S. Dale Mabry Hwy, Unit a
Tampa, FL 33629-1001

Mailing address

3612 S. Dale Mabry Hwy, Unit a
Tampa, FL 33629-1001
Phone (813) 374-0116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090903000278 FL Practitioner - Chiropractic 1254486848 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3612 S Dale Mabry Hwy
Suite a
Tampa, FL 33629-8657
Phone (813) 374-0116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH9734FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean Chiropractic & Laser Center, LLC Chiropractor CurrentSince Feb 20, 2018 Accepting new patients
Farkas Chiropractic Clinic PA Chiropractor PastSince Oct 24, 2012 Accepting new patients

Locations

3612 S Dale Mabry Hwy
Ste A
Tampa, FL 33629
Phone (813) 374-0116

4707 W Gandy Blvd
Ste 4
Tampa, FL 33611
Phone (813) 374-0116

Organizations & group practices 2

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": "1243987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334534400000",
    "number": "1235365339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3612 S. DALE MABRY HWY, UNIT A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336291001",
            "telephone_number": "813-374-0116",
            "fax_number": "813-443-4875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3612 S. DALE MABRY HWY, UNIT A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336291001",
            "telephone_number": "813-374-0116",
            "fax_number": "813-443-4875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "MARTIN",
        "middle_name": "WILLIAM",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-03",
        "last_updated": "2012-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.