Active NPI
Michael Thomas Martini, DC
- Chiropractor
- Portage, MI
National Provider Identifier
1811548555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301010871
- Practice address
- 1930 W Milham Ave Ste D
Portage, MI 49024-2228 - Phone
- (269) 345-2273
- NPI assigned
- Sep 24, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301010871 | MI | Primary |
Addresses
Primary practice location
1930 W Milham Ave Ste D
Portage, MI 49024-2228
Mailing address
1930 W Milham Ave Ste D
Portage, MI 49024-2228
Phone (815) 993-6753
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dr.michael@bthclinics.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1402 Columbus St
Ottawa, IL 61350-2008
Phone (815) 324-9026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martini Chiropractic, PLLC | Chiropractor | Current | Accepting new patients |
Locations
1402 Columbus St
Ottawa, IL 61350
Phone (815) 324-9026
1402 Columbus St
Ste 2
Ottawa, IL 61350
Phone (815) 324-9026
Organizations & group practices 1
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.
-
- Chiropractor
- Ottawa, IL
- NPI 1730988312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569283200000",
"number": "1811548555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1930 W MILHAM AVE STE D",
"city": "PORTAGE",
"state": "MI",
"postal_code": "490242228",
"telephone_number": "815-993-6753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1930 W MILHAM AVE STE D",
"city": "PORTAGE",
"state": "MI",
"postal_code": "490242228",
"telephone_number": "269-345-2273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINI",
"first_name": "MICHAEL",
"middle_name": "THOMAS",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-09-24",
"last_updated": "2019-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301010871",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dr.michael@bthclinics.com",
"affiliation": "N",
"address_1": "1930 W Milham Ave Ste D",
"city": "Portage",
"state": "MI",
"country_code": "US",
"postal_code": "490242228",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Portage, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; 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.