Active NPI
Peyton Martin, DO
- Pediatrics Physician
- Coppell, TX
National Provider Identifier
1477127702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- V1180
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| V1180 | TX | MD | Pediatrics Physician |
| 0412R | OK | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PRMC Healthcare Group Inc | Current | Accepting new patients | |
| PRMC Healthcare Group Inc | Current | Accepting new patients | |
| MD Pediatric Associates, P.a. | Pediatrics | Past | 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
- 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.
-
- General Practice Physician
- Paris, TX
- NPI 1457514648
-
- Rural Health Clinic/Center
- Clarksville, TX
- NPI 1841808763
-
- Pediatrics Physician
- Coppell, TX
- NPI 1013922731
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.