NPIMap

Organization Active NPI

Martin E. Mytas D.C.,S.C.

  • Chiropractor
  • Cashton, WI
National Provider Identifier
1497050348
Registry record updated Jan 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4213-012 Issued in WI
Legal business name
MARTIN E. MYTAS D.C.,S.C.
Practice address
1103 Front St.
Cashton, WI 54619
Phone
(608) 654-5200
Fax
(608) 654-5140
NPI assigned
Jan 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2011

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

Authorized official

Name
Dr. Martin Mytas, D.C.
Title
Owner
Phone
(608) 487-2171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4213-012 WI Primary

Addresses

Primary practice location

1103 Front St.
Cashton, WI 54619

Mailing address

1103 Front St.
Cashton, WI 54619
Phone (608) 654-5200

Other names 1

  • Thrive Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

1103 Front St
Cashton, WI 54619
Phone (608) 654-5200

NPI Registry JSON

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

{
    "created_epoch": "1295827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295827200000",
    "number": "1497050348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 FRONT ST.",
            "city": "CASHTON",
            "state": "WI",
            "postal_code": "54619",
            "telephone_number": "608-654-5200",
            "fax_number": "608-654-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 FRONT ST.",
            "city": "CASHTON",
            "state": "WI",
            "postal_code": "54619",
            "telephone_number": "608-654-5200",
            "fax_number": "608-654-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN E. MYTAS D.C.,S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-24",
        "last_updated": "2011-01-24",
        "status": "A",
        "authorized_official_last_name": "MYTAS",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-487-2171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4213-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thrive Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cashton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.

Verify at the official NPI Registry.