Active NPI
Chad Martens
- Chiropractor
- Kansas City, MO
National Provider Identifier
1720453848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2008008295
- Practice address
- 404 E Bannister Rd Ste B
Kansas City, MO 64131-3020 - Phone
- (816) 444-1218
- NPI assigned
- Dec 1, 2015
- Last updated
- Mar 31, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 01-05416 | KS | |
| Chiropractor | 111N00000X | 2008008295 | MO | Primary |
Addresses
Primary practice location
404 E Bannister Rd Ste B
Kansas City, MO 64131-3020
Mailing address
PO Box 13242
Overland Park, KS 66282-3242
Phone (816) 444-1218
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190415001400 | MO | Practitioner - Chiropractic | 8921349291 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01-05416 | KS | MD | Chiropractor |
| 2008008295 | MO | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585612800000",
"number": "1720453848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13242",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662823242",
"telephone_number": "816-444-1218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 E BANNISTER RD STE B",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641313020",
"telephone_number": "816-444-1218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTENS",
"first_name": "CHAD",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-12-01",
"last_updated": "2020-03-31",
"certification_date": "2020-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KS",
"license": "01-05416",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "2008008295",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.