Martin John Codino, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2841 Issued in OR

Practice address

4317 NE Tillamook St
Portland, OR 97213-1315

Phone

(503) 493-9730

Fax

(503) 493-1642

NPI assigned

Dec 5, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Northeast Medical Consultants, PC

  • Clinic/Center
  • Portland, OR
  • NPI 1811140130
  NPD (past) Authorized official
• Dorsey Chiropractic, Inc

  dba Northeast Portland Chiropractic Center

  • Chiropractor
  • Portland, OR
  • NPI 1407146012
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457419889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4317 NE TILLAMOOK ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972131315",
            "telephone_number": "503-493-9730",
            "fax_number": "503-493-1642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4317 NE TILLAMOOK ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972131315",
            "telephone_number": "503-493-9730",
            "fax_number": "503-493-1642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CODINO",
        "first_name": "MARTIN",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "2841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coda, Inc.
• Elisha Codding, LCSW, CADCI
• Sarah J Coderre, L.M.T.
• Dan P. Codiga
• Priscilla Kim Codiga, M.D
• Tristan Codrescu, L.AC.
• Gwenn Tiana Cody-Wald, MSW, LCSW
• Taylor Danielle Coe-Eisenberg, PHARMD
• Lorie Mae Coe, RN
• Ryan Coe, MD

• Chiropractor in Portland, OR
• Providers in Portland, OR by specialty
• Chiropractor in Oregon

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.