Active NPI
Logan C Martin, DC
- Chiropractor
- Spokane Valley, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00034813
- Practice address
- 15404 E Springfield Ave
Suite 100
Spokane Valley, WA 99037-8569 - Phone
- (509) 892-9800
- Fax
- (509) 892-9998
- NPI assigned
- Sep 10, 2007
- Sex
- Male
- Sole proprietor
- No
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 | CH00034813 | WA | Primary |
Addresses
Primary practice location
15404 E Springfield Ave
Suite 100
Spokane Valley, WA 99037-8569
Mailing address
15404 E Springfield Ave
Suite 100
Spokane Valley, WA 99037-8569
Phone (509) 892-9800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1104 N 4TH St
Suite B
Coeur D Alene, ID 83814-2418
1104 N 4TH St
Suite B
Coeur D Alene, ID 83814-3217
Phone (208) 292-4873
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Logan C Martin PC | Chiropractor | Current | Accepting new patients |
| Chiropractic Health Strategies, PA | Chiropractor | Past | Accepting new patients |
| Gina M Wolf DC PS | Chiropractor | Past | Accepting new patients |
Locations
1104 N 4th St
#B
Coeur D Alene, ID 83814
Phone (208) 292-4873
1019 W Lacrosse Ave
Coeur D Alene, ID 83814
Phone (208) 292-4873
Organizations & group practices 3
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.
-
- Chiropractor
- Coeur D Alene, ID
- NPI 1477811750
-
- Chiropractor
- Spokane Valley, WA
- NPI 1205055902
-
- Chiropractor
- Coeur D Alene, ID
- NPI 1700066875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189382400000",
"number": "1265627632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15404 E SPRINGFIELD AVE",
"address_2": "SUITE 100",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "990378569",
"telephone_number": "509-892-9800",
"fax_number": "509-892-9998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15404 E SPRINGFIELD AVE",
"address_2": "SUITE 100",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "990378569",
"telephone_number": "509-892-9800",
"fax_number": "509-892-9998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "LOGAN",
"middle_name": "C",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-10",
"last_updated": "2007-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00034813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane Valley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; 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.