Active NPI
Justin Ryan Martinson, DC
- Chiropractor
- Red Bluff, CA
National Provider Identifier
1346913654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC36130
- Practice address
- 756 Rio St
Red Bluff, CA 96080-3338 - Phone
- (530) 526-6196
- NPI assigned
- Aug 1, 2021
- 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 | DC36130 | CA | Primary |
Addresses
Primary practice location
756 Rio St
Red Bluff, CA 96080-3338
Mailing address
756 Rio St
Red Bluff, CA 96080-3338
Phone (530) 526-6196
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211207001717 | CA | Practitioner - Chiropractic | 0547650574 | Practice locations: Red Bluff, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
756 Rio St
Red Bluff, CA 96080-3338
Phone (530) 526-6196
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC36130 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637107200000",
"number": "1346913654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "756 RIO ST",
"city": "RED BLUFF",
"state": "CA",
"postal_code": "960803338",
"telephone_number": "530-526-6196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "756 RIO ST",
"city": "RED BLUFF",
"state": "CA",
"postal_code": "960803338",
"telephone_number": "530-526-6196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINSON",
"first_name": "JUSTIN",
"middle_name": "RYAN",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-01",
"last_updated": "2021-11-17",
"certification_date": "2021-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC36130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Red Bluff, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; 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.