Individual provider Active NPI

Guy Peter Martin, D.C.

  • Chiropractor
  • Robbinsdale, MN
National Provider Identifier
1730261868
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3390 Issued in MN
Practice address
4926 42ND Ave N
Robbinsdale, MN 55422-1731
Phone
(763) 537-3927
Fax
(763) 537-1421
NPI assigned
Oct 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3390 MN Primary

Addresses

Primary practice location

4926 42ND Ave N
Robbinsdale, MN 55422-1731

Mailing address

4926 42ND Ave N
Robbinsdale, MN 55422-1731
Phone (763) 537-3927

Other identifiers 1

IdentifierTypeStateIssuer
5C347MAOtherMNBCBS MINNESOTA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110712000739 MN Practitioner - Chiropractic 1850577925 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robbinsdale Chirocenter Inc.Group PAC ID 5092629824, 4 clinicians

Practice addresses (Care Compare)

4926 42ND Ave N
Robbinsdale, MN 55422-1731
Phone (763) 537-3927

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3390MNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Robbinsdale Chiropractic Chiropractor PastSince Jul 19, 1996 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730261868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4926 42ND AVE N",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554221731",
            "telephone_number": "763-537-3927",
            "fax_number": "763-537-1421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4926 42ND AVE N",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554221731",
            "telephone_number": "763-537-3927",
            "fax_number": "763-537-1421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "GUY",
        "middle_name": "PETER",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MINNESOTA",
            "identifier": "5C347MA",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Robbinsdale, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.