Organization Active NPI

Martini Chiropractic, PLLC

Doing business as Martini Chiropractic

  • Chiropractor
  • Ottawa, IL
National Provider Identifier
1730988312
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MARTINI CHIROPRACTIC, PLLC
Doing business as
Martini Chiropractic
Practice address
1402 Columbus St
Ottawa, IL 61350-2008
Phone
(815) 993-6753
NPI assigned
Mar 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Authorized official

Name
Dr. Michael MartiniNPI 1811548555
Title
Ceo/DC
Phone
(815) 993-6753

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1402 Columbus St
Ottawa, IL 61350-2008

Mailing address

1402 Columbus St
Ottawa, IL 61350-2008
Phone (815) 993-6753

Other names 1

  • Martini Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250414000772 IL Part B Supplier - Clinic/Group Practice 3870017684 Receives reassigned benefits from 1 practitioner
Practice locations: Ottawa, IL

National Provider Directory

National Provider Directory

Locations

1402 Columbus St
Ottawa, IL 61350
Phone (815) 324-9026

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1741305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1730988312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 COLUMBUS ST",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613502008",
            "telephone_number": "815-993-6753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 COLUMBUS ST",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613502008",
            "telephone_number": "815-993-6753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTINI CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-07",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-05",
        "status": "A",
        "authorized_official_last_name": "MARTINI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO/DC",
        "authorized_official_telephone_number": "815-993-6753",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Martini Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ottawa, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; 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.

Verify at the official NPI Registry.