Individual provider Active NPI

Dirk Charles Martin Jr., D.C.

  • Chiropractor
  • McAllen, TX
National Provider Identifier
1457510992
Registry record updated Feb 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10904 Issued in TX
Practice address
206 W Nolana St
McAllen, TX 78504-2513
Phone
(956) 682-7351
Fax
(956) 630-1033
NPI assigned
Jun 9, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 10904 TX Primary

Addresses

Primary practice location

206 W Nolana St
McAllen, TX 78504-2513

Mailing address

206 W Nolana St
McAllen, TX 78504-2513
Phone (956) 682-7351

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100323000965 TX Practitioner - Chiropractic 5991830317 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2008
Medicare assignment
May accept Medicare assignment
Group practices
Martin Chiropractic ClinicGroup PAC ID 1557496973, 4 clinicians

Practice addresses (Care Compare)

206 W Nolana Ave
McAllen, TX 78504-2513
Phone (956) 682-7351

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10904TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Martin Chiropractic Clinic Chiropractor CurrentSince Jan 3, 2010 Accepting new patients

Locations

206 W Nolana Ave
McAllen, TX 78504
Phone (956) 682-7351

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330041600000",
    "number": "1457510992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 W NOLANA ST",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042513",
            "telephone_number": "956-682-7351",
            "fax_number": "956-630-1033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 W NOLANA ST",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042513",
            "telephone_number": "956-682-7351",
            "fax_number": "956-630-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "DIRK",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-09",
        "last_updated": "2012-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.