Active NPI
Aaron Gordon Martin, D.C.
- Chiropractor
- Dallas, TX
National Provider Identifier
1558705269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 12256
- Practice address
- 5959 Royal LN
Suite 663
Dallas, TX 75230-3856 - Phone
- (214) 369-7700
- NPI assigned
- Apr 24, 2013
- 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 | 12256 | TX | Primary |
Addresses
Primary practice location
5959 Royal LN
Suite 663
Dallas, TX 75230-3856
Mailing address
5072 W Plano Pkwy
Ste 130
Plano, TX 75093-4474
Phone (972) 200-5009
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12256 | TX | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474502400000",
"number": "1558705269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5072 W PLANO PKWY",
"address_2": "STE 130",
"city": "PLANO",
"state": "TX",
"postal_code": "750934474",
"telephone_number": "972-200-5009",
"fax_number": "972-248-9292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5959 ROYAL LN",
"address_2": "SUITE 663",
"city": "DALLAS",
"state": "TX",
"postal_code": "752303856",
"telephone_number": "214-369-7700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "AARON",
"middle_name": "GORDON",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-24",
"last_updated": "2016-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "12256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.