Active NPI
Charles Jonathan Martin, D.C., D.A.C.A.N
- Neurology Chiropractor
- Monterey, CA
National Provider Identifier
1801805866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Chiropractor
- License
- CA11975
- Practice address
- 142 Carmelito Ave
Monterey, CA 93940-4521 - Phone
- (831) 373-7756
- Fax
- (831) 373-7760
- NPI assigned
- Aug 7, 2006
- Last updated
- Oct 2, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Chiropractor | 111NN0400X | CA11975 | CA | Primary |
Addresses
Primary practice location
142 Carmelito Ave
Monterey, CA 93940-4521
Mailing address
142 Carmelito Ave
Monterey, CA 93940-4521
Phone (831) 373-7756
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051013000916 | CA | Practitioner - Chiropractic | 9739104167 | Practice locations: Monterey, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1976
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
142 Carmelito Ave
Monterey, CA 93940-4502
Phone (831) 373-7756
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CA11975 | CA | MD | Neurology Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349136000000",
"number": "1801805866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "142 CARMELITO AVE",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939404521",
"telephone_number": "831-373-7756",
"fax_number": "831-373-7760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142 CARMELITO AVE",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939404521",
"telephone_number": "831-373-7756",
"fax_number": "831-373-7760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "CHARLES",
"middle_name": "JONATHAN",
"name_prefix": "Mr.",
"credential": "D.C., D.A.C.A.N",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-07",
"last_updated": "2012-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "CA",
"license": "CA11975",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monterey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; 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.