Active NPI
Patrick W. Martin, P.a.
- Chiropractor
- Schertz, TX
National Provider Identifier
1407059348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 8969
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 608106 | Other | TX | BCBS |
Other names 1
- Schertz Chiropractic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 PA
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Chiropractor
- Schertz, TX
- NPI 1841371440
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.