James D Martin, D.C., C.C.S.P.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

AA187 Issued in AK

Practice address

400 N Main St
Wasilla, AK 99654-7018

Phone

(907) 373-2022

Fax

(907) 373-2029

NPI assigned

Jan 12, 2006

Last updated

Jul 8, 2007By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

ChiropracticAlso: Sports Medicine

Education

Los Angeles College of Chiropractic, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Valley Chiropractic Clinic, IncGroup PAC ID 2860588381, 2 clinicians

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.

• Valley Chiropractic Clinic, Inc

  • Chiropractor
  • Wasilla, AK
  • NPI 1104913359
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396724951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N MAIN ST",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547018",
            "telephone_number": "907-373-2022",
            "fax_number": "907-373-2029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N MAIN ST",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547018",
            "telephone_number": "907-373-2022",
            "fax_number": "907-373-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JAMES",
        "middle_name": "D",
        "credential": "D.C., C.C.S.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "AK",
            "license": "AA187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH0065",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Baylee Marquis, LMT
• Piper Jessica Marsh, PHARMD
• William Tyran Marsh
• Cathleen E Marshall, MD
• David James Martin, D.C.
• Jenn Martin, MSW
• Kristin Martin, PHARMD
• Lindsey M Martin, PMHNP-BC
• Truitt Martin
• Alonzo Martinez, LCSW

• Sports Physician Chiropractor in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Sports Physician Chiropractor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.