Individual provider Active NPI

Patrick Wayne Martin, D.C.

  • Chiropractor
  • Schertz, TX
National Provider Identifier
1770510950
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8969 Issued in TX
Practice address
17323 Ih 35 N
Schertz, TX 78154-1242
Phone
(210) 646-6000
Fax
(210) 651-0065
NPI assigned
Jun 26, 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 8969 TX Primary

Addresses

Primary practice location

17323 Ih 35 N
Schertz, TX 78154-1242

Mailing address

17323 Ih 35 N
Schertz, TX 78154-1242
Phone (210) 646-6000

Other identifiers 1

IdentifierTypeStateIssuer
608106OtherTXBLUECROSS AND BLUE SHEILD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050420001301 TX Practitioner - Chiropractic 2466490321 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Patrick W. Martin, P.a.Group PAC ID 9739127697, 2 clinicians

Practice addresses (Care Compare)

17323 Ih 35
Suite 106
Schertz, TX 78154-1278

17323 Interstate 35 N
Suite 106
Schertz, TX 78154-1278
Phone (210) 646-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8969TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Patrick W. Martin P.a. Chiropractor Current Accepting new patients
E R Chiropractic PC Chiropractor Past Accepting new patients

Organizations & group practices 3

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770510950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17323 IH 35 N",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781541242",
            "telephone_number": "210-646-6000",
            "fax_number": "210-651-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17323 IH 35 N",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781541242",
            "telephone_number": "210-646-6000",
            "fax_number": "210-651-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "PATRICK",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS AND BLUE SHEILD",
            "identifier": "608106",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schertz, TX

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.