Individual provider Active NPI

Kyara Martinez, DC

  • Chiropractor
  • Fort Worth, TX
National Provider Identifier
1467227694
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15822 Issued in TX
Practice address
4747 S Hulen St Ste 101
Fort Worth, TX 76132-1413
Phone
(682) 708-2225
NPI assigned
Nov 17, 2023
Last updated
Jun 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 15822 TX Primary

Addresses

Primary practice location

4747 S Hulen St Ste 101
Fort Worth, TX 76132-1413

Mailing address

9216 Castorian Dr
Fort Worth, TX 76131-4368
Phone (787) 391-0353

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240614003773 TX Practitioner - Chiropractic 0143763409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optimal Alignment CorpGroup PAC ID 4385084599, 5 clinicians

Practice addresses (Care Compare)

4747 S Hulen St
Suite 101
Fort Worth, TX 76132-1413
Phone (682) 708-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15822TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Optimal Alignment Corp CurrentSince May 8, 2024 Accepting new patients

Locations

4747 S Hulen St
Ste 101
Ft Worth, TX 76132
Phone (682) 708-2225

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1467227694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9216 CASTORIAN DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761314368",
            "telephone_number": "787-391-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 S HULEN ST STE 101",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761321413",
            "telephone_number": "682-708-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "KYARA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-17",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "15822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; 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.