Individual provider Active NPI

Robin J Martinez-Williams, DC

  • Chiropractor
  • Indialantic, FL
National Provider Identifier
1295757003
Registry record updated Jul 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH12217 Issued in FL
Practice address
429 5TH Ave
Indialantic, FL 32903-4240
Phone
(321) 733-4434
NPI assigned
Jul 24, 2006
Last updated
Jul 15, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH12217 FL Primary

Addresses

Primary practice location

429 5TH Ave
Indialantic, FL 32903-4240

Mailing address

PO Box 33384
Indialantic, FL 32903-0384
Phone (352) 653-7962

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH12217FLMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531612800000",
    "number": "1295757003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33384",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329030384",
            "telephone_number": "352-653-7962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 5TH AVE",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329034240",
            "telephone_number": "321-733-4434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ-WILLIAMS",
        "first_name": "ROBIN",
        "middle_name": "J",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2018-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indialantic, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2018; 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.