Organization Active NPI

Michael R Martin DC PC

Doing business as Martin Chiropractic Clinic

  • Chiropractor
  • Plano, TX
National Provider Identifier
1326109919
Registry record updated Aug 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2488 Issued in TX
Legal business name
MICHAEL R MARTIN DC PC
Doing business as
Martin Chiropractic Clinic
Practice address
1212 Coit Rd
Suite 101
Plano, TX 75075-7740
Phone
(972) 867-1500
Fax
(972) 867-5968
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2010

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

Authorized official

Name
Dr. Michael R Martin, D.C.NPI 1861553448
Title
President
Phone
(972) 867-1500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2488 TX Primary

Addresses

Primary practice location

1212 Coit Rd
Suite 101
Plano, TX 75075-7740

Mailing address

1212 Coit Rd
Suite 101
Plano, TX 75075-7740
Phone (972) 867-1500

Other identifiers 3

IdentifierTypeStateIssuer
4251787OtherTXAETNA ID
0023PYOtherTXBLUE CROSS BLUE SHIELD
50552OtherTXFIRST HEALTH

Other names 1

  • Martin Chiropractic Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080515000112 TX Part B Supplier - Clinic/Group Practice 5294804373 Receives reassigned benefits from 1 practitioner
Practice locations: Plano, TX

National Provider Directory

National Provider Directory

Locations

1212 Coit Rd
Ste 101
Plano, TX 75075
Phone (325) 695-2225

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281571200000",
    "number": "1326109919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 COIT RD",
            "address_2": "SUITE 101",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750757740",
            "telephone_number": "972-867-1500",
            "fax_number": "972-867-5968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 COIT RD",
            "address_2": "SUITE 101",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750757740",
            "telephone_number": "972-867-1500",
            "fax_number": "972-867-5968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL R MARTIN DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2010-08-12",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-867-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "2488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ID",
            "identifier": "4251787",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0023PY",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "50552",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Martin Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.