Active NPI
David Sheffield Martin Jr., MSOM, EAMP, LAC.
- Acupuncturist
- White Salmon, WA
National Provider Identifier
1477840619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC 60144048
- Practice address
- 410 E Jewett Blvd
White Salmon, WA 98672 - Phone
- (509) 493-1241
- Fax
- (509) 493-1243
- NPI assigned
- Jul 8, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC 60144048 | WA | Primary |
| Acupuncturist | 171100000X | AC150923 | OR |
Addresses
Primary practice location
410 E Jewett Blvd
White Salmon, WA 98672
Mailing address
PO Box 183
Husum, WA 98623-0183
Phone (509) 493-1241
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC150923 | OR | MD | Acupuncturist |
| AC 60144048 | WA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Natural Medicine, LLC. | Acupuncturist | Past | Accepting new patients |
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.
-
- Acupuncturist
- White Salmon, WA
- NPI 1780971929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310083200000",
"number": "1477840619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 183",
"city": "HUSUM",
"state": "WA",
"postal_code": "986230183",
"telephone_number": "509-493-1241",
"fax_number": "509-493-1243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 E JEWETT BLVD",
"city": "WHITE SALMON",
"state": "WA",
"postal_code": "98672",
"telephone_number": "509-493-1241",
"fax_number": "509-493-1243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "DAVID",
"middle_name": "SHEFFIELD",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "MSOM, EAMP, LAC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-07-08",
"last_updated": "2011-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WA",
"license": "AC 60144048",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OR",
"license": "AC150923",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in White Salmon, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.