Martin V Booth Jr., D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH11978 Issued in FL

Practice address

570 Memorial Cir Ste 100
Ormond Beach, FL 32174-5063

Phone

(386) 236-9765

Fax

(386) 777-2851

NPI assigned

Nov 4, 2016

Last updated

Jun 13, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 FL

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ormond Beach Chiropractic LLC

  • Chiropractor
  • Ormond Beach, FL
  • NPI 1528502242
  Medicare reassignment NPD Authorized official
• Back in Balance Chiropractic and Day Spa, LLC

  • Chiropractor
  • South Daytona, FL
  • NPI 1295387504
  NPD (past)

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

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1295277432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 MEMORIAL CIR STE 100",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745063",
            "telephone_number": "386-236-9765",
            "fax_number": "386-777-2851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 MEMORIAL CIR STE 100",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745063",
            "telephone_number": "386-236-9765",
            "fax_number": "386-777-2851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOTH",
        "first_name": "MARTIN",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-04",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Bohan
• Richard Wayne Bolt III, PHARMD
• Julie Bom Conselho, ARNP
• Ramin D Bonnet, DO
• Louise Cox Booth, L.C.S.W
• Robert E Borer, D.M.D.
• Arabella Borges
• Mimi Belinda Borkosky, RPH
• Lori Ann Bosset, OTR/L
• Kevin Bowman

• Chiropractor in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.