Active NPI
Dustin Martinez, D.C.
- Independent Medical Examiner Chiropractor
- Los Angeles, CA
National Provider Identifier
1790020097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Independent Medical Examiner Chiropractor
- License
- 33346
- Practice address
- 2001 S Barrington Ave
Suite 107
Los Angeles, CA 90025-5363 - Phone
- (310) 575-5535
- Fax
- (310) 575-5536
- NPI assigned
- Nov 28, 2012
- Last updated
- Feb 16, 2016
- 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 | 038012319 | IL | |
| Independent Medical Examiner Chiropractor | 111NI0013X | 33346 | CA | Primary |
Addresses
Primary practice location
2001 S Barrington Ave
Suite 107
Los Angeles, CA 90025-5363
Mailing address
2001 S Barrington Ave
Suite 107
Los Angeles, CA 90025-5363
Phone (310) 575-5535
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038012319 | IL | MD | Chiropractor |
| 33346 | CA | MD | Independent Medical Examiner Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baker Chiropractic Inc. | Past | Accepting new patients | |
| Martinez Chiropractic Health Center Inc | Chiropractor | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Whole Health Chiropractic
- Chiropractor
- Los Angeles, CA
- NPI 1962868935
-
- Rehabilitation Chiropractor
- Los Angeles, CA
- NPI 1831393081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455580800000",
"number": "1790020097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 S BARRINGTON AVE",
"address_2": "SUITE 107",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900255363",
"telephone_number": "310-575-5535",
"fax_number": "310-575-5536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 S BARRINGTON AVE",
"address_2": "SUITE 107",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900255363",
"telephone_number": "310-575-5535",
"fax_number": "310-575-5536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "DUSTIN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-11-28",
"last_updated": "2016-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038012319",
"primary": false
},
{
"code": "111NI0013X",
"taxonomy_group": "",
"desc": "Chiropractor, Independent Medical Examiner",
"state": "CA",
"license": "33346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.