Individual provider Active NPI

Jordan Gabriel Martin, DC

  • Chiropractor
  • Greeley, CO
National Provider Identifier
1851890040
Registry record updated Feb 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHR.0007772 Issued in CO
Practice address
3000 W 10TH St
Greeley, CO 80634-5335
Phone
(970) 346-9031
Fax
(970) 346-9708
NPI assigned
Feb 2, 2018
Last updated
Feb 2, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHR.0007772 CO Primary

Addresses

Primary practice location

3000 W 10TH St
Greeley, CO 80634-5335

Mailing address

3000 W 10TH St
Greeley, CO 80634-5335
Phone (970) 346-9031

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHR.0007772COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Campbell Chiropractic, P.C. Chiropractor CurrentSince Mar 26, 2018 Accepting new patients

Locations

3000 W 10th St
Greeley, CO 80634
Phone (970) 346-9031

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517529600000",
    "number": "1851890040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 W 10TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806345335",
            "telephone_number": "970-346-9031",
            "fax_number": "970-346-9708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 W 10TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806345335",
            "telephone_number": "970-346-9031",
            "fax_number": "970-346-9708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JORDAN",
        "middle_name": "GABRIEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-02",
        "last_updated": "2018-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.0007772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.