Ronald Bernard Martin Jr., D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH12488 Issued in FL

Practice address

15993 Preserve Marketplace Blvd
Odessa, FL 33556-5509

Phone

(609) 304-8117

NPI assigned

Nov 10, 2010

Last updated

Jun 16, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 2010

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Preserve Chiropractic & Wellness, LLC

  dba 100 Percent Chiropractic Odessa

  • Chiropractor
  • Odessa, FL
  • NPI 1174148050
  Medicare reassignment NPD Authorized official
• Dynamic Chiropractic

  • Chiropractor
  • Sicklerville, NJ
  • NPI 1700812880
  NPD (past)
• Joint Ventures Rehabilitation LLC

  dba HealthSource of Sicklerville

  • Chiropractor
  • Sicklerville, NJ
  • NPI 1043760739
  NPD (past)
• Ross Chiropractic Clinic, Inc.

  • Clinic/Center
  • Chattanooga, TN
  • NPI 1659540938
  NPD (past)

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592265600000",
    "number": "1356642102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3240 CLOVER BLOSSOM CIR",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346387990",
            "telephone_number": "609-304-8117",
            "fax_number": "609-304-8117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15993 PRESERVE MARKETPLACE BLVD",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335565509",
            "telephone_number": "609-304-8117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "RONALD",
        "middle_name": "BERNARD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-10",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00693600",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shamod Mahawela Mudiyanselage
• Nicole Elizabeth Maitre, OTR/L
• Cristalnoel Villegas Maldonado
• Brenda M Manzanares, DMD
• Dana Martin
• Tyrik Mason
• Melissa Kuhling Masone
• Amanda Corrine Maucere, MS RD LD/N
• Rudy Mayoz, M.D.
• Chanel Janae Mays

• Chiropractor in Odessa, FL
• Providers in Odessa, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; 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.

Verify at the official NPI Registry.