Organization Active NPI

Martis Chiropractic

  • Orthopedic Chiropractor
  • Pekin, IL
National Provider Identifier
1467615369
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
038004275 Issued in IL
Legal business name
MARTIS CHIROPRACTIC
Practice address
1340 Park Avenue
Pekin, IL 61554-5082
Phone
(309) 347-1500
Fax
(309) 347-1510
NPI assigned
Jul 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Authorized official

Name
Mrs. Karri Allison Cunningham
Title
Office Manager
Phone
(309) 347-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NX0800X 038004275 IL Primary

Addresses

Primary practice location

1340 Park Avenue
Pekin, IL 61554-5082

Mailing address

1340 Park Avenue
Pekin, IL 61554-5082
Phone (309) 347-1500

Other identifiers 1

IdentifierTypeStateIssuer
9082010OtherBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

1340 Park Ave
Pekin, IL 61554
Phone (309) 347-1500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1467615369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 PARK AVENUE",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615545082",
            "telephone_number": "309-347-1500",
            "fax_number": "309-347-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 PARK AVENUE",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615545082",
            "telephone_number": "309-347-1500",
            "fax_number": "309-347-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIS CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-10",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "KARRI",
        "authorized_official_middle_name": "ALLISON",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "309-347-1500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": "IL",
            "license": "038004275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "9082010",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pekin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.