Organization Active NPI

Patrick W. Martin, P.a.

  • Chiropractor
  • Schertz, TX
National Provider Identifier
1407059348
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8969 Issued in TX
Legal business name
PATRICK W. MARTIN, P.A.
Practice address
17323 Ih 35 N
Ste 106
Schertz, TX 78154-1277
Phone
(210) 646-6000
Fax
(210) 651-0665
NPI assigned
Jun 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Amy L Martin
Title
Office Manager
Phone
(210) 646-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 8969 TX Primary

Addresses

Primary practice location

17323 Ih 35 N
Ste 106
Schertz, TX 78154-1277

Mailing address

17323 Ih 35 N
Ste 106
Schertz, TX 78154-1277
Phone (210) 646-6000

Other identifiers 1

IdentifierTypeStateIssuer
608106OtherTXBCBS

Other names 1

  • Schertz Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050420001296 TX Part B Supplier - Clinic/Group Practice 9739127697 Receives reassigned benefits from 2 practitioners
Practice locations: Schertz, TX

National Provider Directory

National Provider Directory
Tax ID family
Patrick W Martin PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

17323 Interstate 35 N
Ste 106
Schertz, TX 78154
Phone (210) 646-6000

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1407059348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17323 IH 35 N",
            "address_2": "STE 106",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781541277",
            "telephone_number": "210-646-6000",
            "fax_number": "210-651-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17323 IH 35 N",
            "address_2": "STE 106",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781541277",
            "telephone_number": "210-646-6000",
            "fax_number": "210-651-0665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK W. MARTIN, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "210-646-6000"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "608106",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Schertz Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Schertz, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.