NPIMap

Organization Active NPI

Gary S Martin PC

Doing business as Duluth Chiropractic and Wellness Center

  • Chiropractor
  • Duluth, GA
National Provider Identifier
1659550531
Registry record updated Nov 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
GARY S MARTIN PC
Doing business as
Duluth Chiropractic and Wellness Center
Practice address
3499 Duluth Park LN
Suite 110
Duluth, GA 30096-5714
Phone
(770) 623-9291
Fax
(770) 623-1308
NPI assigned
Oct 29, 2007
Last updated
Nov 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2010

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

Authorized official

Name
Dr. Gary S Martin, DCNPI 1174579841
Title
President
Phone
(770) 623-9291

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

3499 Duluth Park LN
Suite 110
Duluth, GA 30096-5714

Mailing address

3499 Duluth Park LN
Suite 110
Duluth, GA 30096-5714
Phone (770) 623-9291

Other identifiers 1

IdentifierTypeStateIssuer
1174579841OtherGAMEDICARE PTAN 35ZCBFB

Other names 1

  • Duluth Chiropractic and Wellness Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291075200000",
    "number": "1659550531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3499 DULUTH PARK LN",
            "address_2": "SUITE 110",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965714",
            "telephone_number": "770-623-9291",
            "fax_number": "770-623-1308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3499 DULUTH PARK LN",
            "address_2": "SUITE 110",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965714",
            "telephone_number": "770-623-9291",
            "fax_number": "770-623-1308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY S MARTIN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2010-11-30",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-623-9291",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN 35ZCBFB",
            "identifier": "1174579841",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Duluth Chiropractic and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; 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.