Active NPI
Terry H Martin, D.C.P.C.
- Chiropractor
- Taylorsville, UT
National Provider Identifier
1447224720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 161807-1202
- Practice address
- 1951 W 4700 S Ste 1
Taylorsville, UT 84118-1108 - Phone
- (801) 969-8197
- NPI assigned
- Feb 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 161807-1202 | UT | Primary |
Addresses
Primary practice location
1951 W 4700 S Ste 1
Taylorsville, UT 84118-1108
Mailing address
1951 W 4700 S Ste 1
Taylorsville, UT 84118-1108
Phone (801) 969-8197
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 870395551005 | Medicaid | UT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 161807-1202 | UT | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188172800000",
"number": "1447224720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1951 W 4700 S STE 1",
"city": "TAYLORSVILLE",
"state": "UT",
"postal_code": "841181108",
"telephone_number": "801-969-8197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1951 W 4700 S STE 1",
"city": "TAYLORSVILLE",
"state": "UT",
"postal_code": "841181108",
"telephone_number": "801-969-8197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "TERRY",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "D.C.P.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2007-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "UT",
"license": "161807-1202",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "870395551005",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Taylorsville, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.