Jeffrey Lloyd Martin, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

0104000719 Issued in VA

Practice address

11156 Hull Street Rd
Midlothian, VA 23112-3205

Phone

(804) 744-2211

Fax

(804) 744-2773

NPI assigned

Aug 12, 2006

Last updated

Dec 20, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Martin Chiropractic Inc

  • Sports Physician Chiropractor
  • Midlothian, VA
  • NPI 1811082951
  Authorized official Same address or phone

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198108800000",
    "number": "1356353122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11156 HULL STREET RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231123205",
            "telephone_number": "804-744-2211",
            "fax_number": "804-744-2773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11156 HULL STREET RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231123205",
            "telephone_number": "804-744-2211",
            "fax_number": "804-744-2773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JEFFREY",
        "middle_name": "LLOYD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "VA",
            "license": "0104000719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER ID",
            "identifier": "107761",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Ann Martic, NP
• Martin Chiropractic Inc
• Andrew Martin, PHARMD
• Berkeley B Martin, MD
• Crystal Jilnea Martin, PTA
• Josie Martin, PT, DPT
• Kathleen Logan Martin, COTA
• Kyleigh Martin, CF-SLP
• Madalyn Baldwin Martin
• Rachel Stockstill Martin, F.N.P.

• Sports Physician Chiropractor in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Sports Physician Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; 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.