Individual provider Active NPI

Michael R Martin, D.C.

  • Chiropractor
  • Plano, TX
National Provider Identifier
1861553448
Registry record updated Oct 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2488 Issued in TX
Practice address
1212 Coit Rd
Suite 101
Plano, TX 75075-7740
Phone
(972) 867-1500
Fax
(972) 867-5968
NPI assigned
Dec 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2488 TX Primary
Chiropractor 111N00000X IL

Addresses

Primary practice location

1212 Coit Rd
Suite 101
Plano, TX 75075-7740

Mailing address

1212 Coit Rd
Suite 101
Plano, TX 75075-7740
Phone (972) 867-1500

Other identifiers 2

IdentifierTypeStateIssuer
4251787OtherTXAETNA ID
8AJ141OtherTXBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080515000108 TX Practitioner - Chiropractic 7618053232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1212 Coit Rd
Suite 101
Plano, TX 75075-7740
Phone (972) 867-1500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038003638ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Paul C. Harris, M.D., PLLC CurrentSince May 11, 2018 Accepting new patients
Michael R Martin DC PC Chiropractor CurrentSince Oct 1, 2006 Accepting new patients

Locations

1212 Coit Rd
Ste 101
Plano, TX 75075
Phone (325) 695-2225

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192147200000",
    "number": "1861553448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 COIT RD",
            "address_2": "SUITE 101",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750757740",
            "telephone_number": "972-867-1500",
            "fax_number": "972-867-5968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 COIT RD",
            "address_2": "SUITE 101",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750757740",
            "telephone_number": "972-867-1500",
            "fax_number": "972-867-5968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "2488",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ID",
            "identifier": "4251787",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8AJ141",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; 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.

Verify at the official NPI Registry.