Organization Active NPI

Martin Chiropractic Group

  • Chiropractor
  • Garden Grove, CA
National Provider Identifier
1669642930
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11221 Issued in CA
Legal business name
MARTIN CHIROPRACTIC GROUP
Practice address
12441 Magnolia St
Suite D
Garden Grove, CA 92841-3300
Phone
(714) 539-8021
NPI assigned
Mar 3, 2008
Organization subpart
Yes
Parent organization
MARTIN CHIROPRACTIC GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Authorized official

Name
Mr. Gary G Martin, DC
Title
Owner
Phone
(714) 539-8021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 11221 CA Primary

Addresses

Primary practice location

12441 Magnolia St
Suite D
Garden Grove, CA 92841-3300

Mailing address

12441 Magnolia St
Suite D
Garden Grove, CA 92841-3300
Phone (714) 539-8021

National Provider Directory

National Provider Directory
Part of
Martin Berkeley T

Locations

12441 Magnolia St
Ste D
Garden Grove, CA 92841
Phone (714) 539-8021

NPI Registry JSON

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1669642930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12441 MAGNOLIA ST",
            "address_2": "SUITE D",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928413300",
            "telephone_number": "714-539-8021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12441 MAGNOLIA ST",
            "address_2": "SUITE D",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928413300",
            "telephone_number": "714-539-8021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN CHIROPRACTIC GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARTIN CHIROPRACTIC GROUP",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-539-8021",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "11221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.