Organization Active NPI

Elliot J Martin Chiropractic PC

  • Chiropractor
  • Valatie, NY
National Provider Identifier
1265673909
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X0070681 Issued in NY
Legal business name
ELLIOT J MARTIN CHIROPRACTIC PC
Practice address
3143 U S Route 9
Suite 4
Valatie, NY 12184
Phone
(518) 697-9701
Fax
(518) 773-1162
NPI assigned
Mar 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Authorized official

Name
Dr. Elliot J Martin, DC
Title
President
Phone
(518) 697-9701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X0070681 NY Primary

Addresses

Primary practice location

3143 U S Route 9
Suite 4
Valatie, NY 12184

Mailing address

2139 County Route 21
Valatie, NY 12184-3116
Phone (518) 697-9701

National Provider Directory

National Provider Directory

Locations

3143 US Highway 9
Ste 4
Valatie, NY 12184
Phone (518) 697-9701

NPI Registry JSON

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

{
    "created_epoch": "1236643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1265673909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2139 COUNTY ROUTE 21",
            "city": "VALATIE",
            "state": "NY",
            "postal_code": "121843116",
            "telephone_number": "518-697-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3143 U S ROUTE 9",
            "address_2": "SUITE 4",
            "city": "VALATIE",
            "state": "NY",
            "postal_code": "12184",
            "telephone_number": "518-697-9701",
            "fax_number": "518-773-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIOT J MARTIN CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-10",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "ELLIOT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-697-9701",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X0070681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valatie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.