Jordan Bradley Martin, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

33451 Issued in CA

Practice address

330 Park Ave Ste 3
Laguna Beach, CA 92651-2352

Phone

(949) 497-2553

NPI assigned

Jan 9, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Group practices

Arthur Professional Chiropractic CorporationGroup PAC ID 5193881951, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Arthur Professional Chiropractic Corporation

  • Chiropractor
  • Laguna Beach, CA
  • NPI 1174760359
  Medicare reassignment Care Compare group NPD
• Health in Balance Integrative Medicine Inc.

  • Physical Medicine & Rehabilitation Physician
  • Laguna Beach, CA
  • NPI 1396137097

  Chiropractor

  NPD (past)

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

{
    "created_epoch": "1452297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452297600000",
    "number": "1245696087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 S ALTA MIRA RD",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926516713",
            "telephone_number": "949-291-5720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 PARK AVE STE 3",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926512352",
            "telephone_number": "949-497-2553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JORDAN",
        "middle_name": "BRADLEY",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-09",
        "last_updated": "2016-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia E. Mandella, M.D.
• Ivette Nicole Marcle
• Marcus Yetter DPM PC
• Marilyn Syrett, D.O., Inc.
• Richard Marquiss, ND
• Sylvia Maria Martinez
• Mary Kate Saunders Physical Therapy
• Carly P Matlock, IAYT, YOGA THERAPIST
• Sasha Matsusaka
• Mary McDonald, AMFT, LCPC

• Chiropractor in Laguna Beach, CA
• Providers in Laguna Beach, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2016; 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.