Active NPI
Jamie Nicole Martinko, DC, ATC
- Chiropractor
- Odessa, MO
National Provider Identifier
1306449657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2020036035
- Practice address
- 213 W Mason St
Odessa, MO 64076-1262 - Phone
- (816) 533-5867
- NPI assigned
- Nov 19, 2020
- Sex
- Female
- 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 | 2020036035 | MO | Primary |
Addresses
Primary practice location
213 W Mason St
Odessa, MO 64076-1262
Mailing address
213 W Mason St
Odessa, MO 64076-1262
Phone (816) 533-5867
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2020036035 | MO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Sports and Family Chiropractic, LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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
- Overland Park, KS
- NPI 1376710293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635033600000",
"number": "1306449657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "213 W MASON ST",
"city": "ODESSA",
"state": "MO",
"postal_code": "640761262",
"telephone_number": "816-533-5867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "213 W MASON ST",
"city": "ODESSA",
"state": "MO",
"postal_code": "640761262",
"telephone_number": "816-533-5867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINKO",
"first_name": "JAMIE",
"middle_name": "NICOLE",
"credential": "DC, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-19",
"last_updated": "2021-10-24",
"certification_date": "2021-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "2020036035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Odessa, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.