Martin Chiropractic, P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3203 Issued in MN

Legal business name

MARTIN CHIROPRACTIC, P.A.

Practice address

10800 Lyndale Ave S
Suite 124
Bloomington, MN 55420-5614

Phone

(952) 888-7007

Fax

(952) 884-3534

NPI assigned

Mar 23, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Dana Raul Martin, D.C.

Title

Owner

Phone

(952) 888-7007

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1237766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285200000000",
    "number": "1447491345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 LYNDALE AVE S",
            "address_2": "SUITE 124",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554205614",
            "telephone_number": "952-888-7007",
            "fax_number": "952-884-3534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 LYNDALE AVE S",
            "address_2": "SUITE 124",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554205614",
            "telephone_number": "952-888-7007",
            "fax_number": "952-884-3534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN CHIROPRACTIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-23",
        "last_updated": "2010-09-23",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "RAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-888-7007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Elizabeth Marshall
• Jonathon G Marshall, D.O.
• Rose McDonald Marshall
• Abby M Marten
• Selah Anne Martens
• Martin LM LLC (Creekside Adult Day Program)
• Martin LM LLC (Highland House)
• Martin LM LLC (Martin Luther Care Center)
• Martin LM LLC (Martin Luther Adult Day Program)
• Martin Luther Manor

• Chiropractor in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.