Active NPI
Austin Martinez, DC
- Chiropractor
- Santa Rosa, CA
National Provider Identifier
1518626407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 36171
- Practice address
- 830 2ND St Ste B
Santa Rosa, CA 95404-4620 - Phone
- (707) 494-2501
- NPI assigned
- Dec 8, 2021
- Last updated
- Dec 8, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 36171 | CA | Primary |
Addresses
Primary practice location
830 2ND St Ste B
Santa Rosa, CA 95404-4620
Mailing address
4561 Fable CT
Santa Rosa, CA 95404-6253
Phone (707) 494-2501
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Western States College of Chiropractic, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
830 2ND St
Suite B
Santa Rosa, CA 95404-4620
Phone (707) 544-5338
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Austin Martinez Chiropractic, Inc | Chiropractor | Current | Accepting new patients |
Locations
830 2nd St
Ste B
Santa Rosa, CA 95404
Phone (707) 494-2501
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Santa Rosa, CA
- NPI 1740949643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638921600000",
"number": "1518626407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4561 FABLE CT",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954046253",
"telephone_number": "707-494-2501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 2ND ST STE B",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954044620",
"telephone_number": "707-494-2501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "AUSTIN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-12-08",
"last_updated": "2021-12-08",
"certification_date": "2021-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "36171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.