Organization Active NPI

Juan J Martin MD PLLC

  • Neurological Surgery Physician
  • San Antonio, TX
National Provider Identifier
1679947626
Registry record updated Apr 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
Q0504 Issued in TX
Legal business name
JUAN J MARTIN MD PLLC
Practice address
8811 Village Dr
Suite 301
San Antonio, TX 78217-5415
Phone
(210) 229-7234
Fax
(210) 229-7235
NPI assigned
Nov 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2016

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

Authorized official

Name
Juan J Martin, MD
Title
Owner
Phone
(210) 365-6171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207T00000X Q0504 TX Primary

Addresses

Primary practice location

8811 Village Dr
Suite 301
San Antonio, TX 78217-5415

Mailing address

100 N Santa Rosa St
#728
San Antonio, TX 78207-3205
Phone (210) 229-7234

Other identifiers 1

IdentifierTypeStateIssuer
341067201MedicaidTX

National Provider Directory

National Provider Directory

Locations

2600 North Loop W
Ste 310
Houston, TX 77092
Phone (281) 653-2686

2311 W Alabama St
Houston, TX 77098
Phone (713) 773-2273

8811 Village Dr
Ste 301
San Antonio, TX 78217
Phone (210) 229-7234

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12650/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1447372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460505600000",
    "number": "1679947626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N SANTA ROSA ST",
            "address_2": "#728",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782073205",
            "telephone_number": "210-229-7234",
            "fax_number": "210-229-7235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8811 VILLAGE DR",
            "address_2": "SUITE 301",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175415",
            "telephone_number": "210-229-7234",
            "fax_number": "210-229-7235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUAN J MARTIN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-13",
        "last_updated": "2016-04-13",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-365-6171",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "Q0504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "341067201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.

Verify at the official NPI Registry.