Individual provider Active NPI

Peyton Martin, DO

  • Pediatrics Physician
  • Coppell, TX
National Provider Identifier
1477127702
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
V1180 Issued in TX
Practice address
760 N Denton Tap Rd Ste 120
Coppell, TX 75019-2164
Phone
(972) 420-1475
Fax
(469) 671-5437
NPI assigned
May 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0412R OK
Student in an Organized Health Care Education/Training Program 390200000X 0412R OK
Pediatrics Physician 208000000X V1180 TX Primary

Addresses

Primary practice location

760 N Denton Tap Rd Ste 120
Coppell, TX 75019-2164

Mailing address

760 N Denton Tap Rd Ste 120
Coppell, TX 75019-2164
Phone (972) 420-1475

Other names 1

  • Peyton Brooke Chapman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251103004012 TX Practitioner - Pediatric Medicine 7012407679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
University of North Texas HSC, College of Osteopathic Med, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

330 Seven Springs Way
Brentwood, TN 37027-5098

3416 Valley Brook Rd
Nashville, TN 37215-2021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
V1180TXMDPediatrics Physician
0412ROKMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
PRMC Healthcare Group Inc CurrentSince Oct 1, 2025 Accepting new patients
PRMC Healthcare Group Inc CurrentSince Oct 1, 2025 Accepting new patients
MD Pediatric Associates, P.a. Pediatrics PastSince Jul 1, 2024 Accepting new patients

Locations

2870 Lewis Ln
Ste 220
Paris, TX 75460
Phone (903) 739-7830

865 Deshong Dr
Paris, TX 75460
Phone (903) 731-1111

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/fhir/r4

Organizations & group practices 3

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": "1621468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1477127702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 N DENTON TAP RD STE 120",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750192164",
            "telephone_number": "972-420-1475",
            "fax_number": "469-671-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 N DENTON TAP RD STE 120",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750192164",
            "telephone_number": "972-420-1475",
            "fax_number": "469-671-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "PEYTON",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-20",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OK",
            "license": "0412R",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OK",
            "license": "0412R",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "V1180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PEYTON",
            "last_name": "CHAPMAN",
            "middle_name": "BROOKE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Coppell, TX

Sources for this page

Verify at the official NPI Registry.