Active NPI
Robert M Martinez, D.C., N. D.
- Orthopedic Chiropractor
- Kirkland, WA
National Provider Identifier
1801944087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Chiropractor
- License
- 1670
- Practice address
- 11417 124TH Ave NE Ste 103
Kirkland, WA 98033-4677 - Phone
- (425) 828-6232
- Fax
- (425) 822-0880
- NPI assigned
- Jan 6, 2007
- 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 |
|---|---|---|---|---|
| Orthopedic Chiropractor | 111NX0800X | 1670 | WA | Primary |
| Naturopath | 175F00000X | 488 | WA |
Addresses
Primary practice location
11417 124TH Ave NE Ste 103
Kirkland, WA 98033-4677
Mailing address
11417 124TH Ave NE Ste 103
Kirkland, WA 98033-4677
Phone (425) 828-6232
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 |
|---|---|---|---|
| 1670 | WA | MD | Clinical Psychologist |
| 488 | WA | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355702400000",
"number": "1801944087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11417 124TH AVE NE STE 103",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980334677",
"telephone_number": "425-828-6232",
"fax_number": "425-822-0880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11417 124TH AVE NE STE 103",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980334677",
"telephone_number": "425-828-6232",
"fax_number": "425-822-0880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "ROBERT",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "D.C., N. D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-06",
"last_updated": "2012-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "WA",
"license": "1670",
"primary": true
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "WA",
"license": "488",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.