Jeffrey Paul Martin, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038004206 Issued in IL

Practice address

516 South Pleasant Street
Princeton, IL 61356-1953

Phone

(815) 875-3661

Fax

(815) 875-1925

NPI assigned

Oct 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Gibson Community Hospital Association

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321920000000",
    "number": "1629166343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 SOUTH PLEASANT STREET",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "613561953",
            "telephone_number": "815-875-3661",
            "fax_number": "815-875-1925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 SOUTH PLEASANT STREET",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "613561953",
            "telephone_number": "815-875-3661",
            "fax_number": "815-875-1925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JEFFREY",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2011-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038004206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "615601",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "615601",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Louis J. Foley, M.D. Gynecology, LTD
• Leslie Erin Lund, DC
• Colette Marie Maher, LCPC
• Donald R Marion, OD
• Mark W. Williams, M.D., PH.D., General Surgery, S.C.
• Angela McClain, MS, CNS, LDN
• Jon E McCutchan, OD
• Micah W McNeill, APRN, CNP
• Kristina L Menzel, LCPC
• Jennifer Merth, MT-BC, NMT, DT

• Chiropractor in Princeton, IL
• Providers in Princeton, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.