Michele Dawn Martin, DPM

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

E4786 Issued in CA

Practice address

351 Hartnell Ave
Redding, CA 96002

Phone

(530) 226-7639

NPI assigned

Apr 14, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• South Texas Medical Clinics, P.a.

  • General Practice Physician
  • East Bernard, TX
  • NPI 1114077427
  NPD (past)
• South Texas Medical Clinics, P.a.

  • General Practice Physician
  • Wharton, TX
  • NPI 1770688905
  NPD (past)

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529539200000",
    "number": "1760446850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 HARTNELL AVE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021845",
            "telephone_number": "530-226-7639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 HARTNELL AVE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "96002",
            "telephone_number": "530-226-7639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MICHELE",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-14",
        "last_updated": "2018-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CA",
            "license": "E4786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760446850",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD GBA - RAILROAD MEDICARE",
            "identifier": "480026955",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045823401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS TX#",
            "identifier": "88152G",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allyson K Martin, PA
• Elizabeth Miler Martin, O.T.R./L
• Karen Martin, MS, CCC-SLP
• Kendall Martin
• Lissa A Martin
• Mitchell L. Martin, O.D.
• Nicole Denice Martin, RADT
• Richard Douglas Martin, LMFT #148501
• Stacy R Martin
• Tyler Michael Martin, DPT

• Foot Surgery Podiatrist in Redding, CA
• Providers in Redding, CA by specialty
• Foot Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.