Paul William Martin, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00034780 Issued in WA

Practice address

708 Broadway Ste 403
Tacoma, WA 98402-3781

Phone

(253) 383-0577

Fax

(253) 383-0574

NPI assigned

Jan 19, 2009

Last updated

Jan 14, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 2006

Medicare assignment

May accept Medicare assignment

Group practices

Brilliant Life Chiropractic LLCGroup PAC ID 4587728092, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brilliant Life Chiropractic, LLC

  • Chiropractor
  • Tacoma, WA
  • NPI 1063666444
  Medicare reassignment Care Compare group NPD Authorized official
• Ignite a Path to Wellness

  • Counselor
  • Tacoma, WA
  • NPI 1588299515
  NPD (past)

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

{
    "created_epoch": "1232323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578960000000",
    "number": "1720225311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 BROADWAY STE 170",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984023778",
            "telephone_number": "253-383-0577",
            "fax_number": "253-383-0574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 BROADWAY STE 403",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984023781",
            "telephone_number": "253-383-0577",
            "fax_number": "253-383-0574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "PAUL",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-19",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Martin, ARNP
• Ludmila Katherine Martin, MD
• Mackenzie Jade Martin
• Michael J Martin, MD
• Patrick A Martin Jr., CG60166692
• Shantaya N Martin
• Stacy Martin, MSW
• Tiffany Lynn Martin
• Tracy G Martin, PT
• William Martin, D.D.S.

• Chiropractor in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.