Active NPI
John Kevin Martin, DC
- Chiropractor
- Prairieville, LA
National Provider Identifier
1336286665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 819
- Practice address
- 37053-B. Perkins Rd
Prairieville, LA 70769 - Phone
- (225) 673-6454
- Fax
- (225) 673-5488
- NPI assigned
- Jan 30, 2007
- Last updated
- Feb 7, 2013
- Sex
- Male
- 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 | 819 | LA | Primary |
Addresses
Primary practice location
37053-B. Perkins Rd
Prairieville, LA 70769
Mailing address
37053-B. Perkins Rd
Prairieville, LA 70769
Phone (225) 673-6454
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 |
|---|---|---|---|
| 819 | LA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360195200000",
"number": "1336286665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37053-B. PERKINS RD",
"city": "PRAIRIEVILLE",
"state": "LA",
"postal_code": "70769",
"telephone_number": "225-673-6454",
"fax_number": "225-673-5488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37053-B. PERKINS RD",
"city": "PRAIRIEVILLE",
"state": "LA",
"postal_code": "70769",
"telephone_number": "225-673-6454",
"fax_number": "225-673-5488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "JOHN",
"middle_name": "KEVIN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-30",
"last_updated": "2013-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "LA",
"license": "819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prairieville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.