Jennifer Martin, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2005039232 Issued in MO

Practice address

1395 Triad Center Dr, Suite 1
Saint Peters, MO 63376-7352

Phone

(636) 443-3476

Fax

(618) 654-6072

NPI assigned

Jul 7, 2006

Last updated

Oct 20, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445299200000",
    "number": "1518999879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 TRIAD CENTER DR, SUITE 1",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633767352",
            "telephone_number": "636-443-3476",
            "fax_number": "618-654-6072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 TRIAD CENTER DR, SUITE 1",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633767352",
            "telephone_number": "636-443-3476",
            "fax_number": "618-654-6072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2015-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2005039232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Mangels, DMD, LLC
• Mark R Zust DDS LTD (Family Dentistry of St. Peters)
• Alexander Marinov Markov, MD
• Lani Marsh
• Erica Kate Martin, PHARMD
• Roberta Ruth Martin, PT
• Timothy J Martin, MD
• Rebecca Maschmeyer
• Faisal Matar
• Stanley Mathew, MD

• Chiropractor in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; 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.