Active NPI
Jerome E Martinez, D.C
- Chiropractor
- Bart, PA
National Provider Identifier
1861828550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC010770
- Practice address
- 1135 Georgetown Road
Suite 120
Bart, PA 17503-9999 - Phone
- (717) 786-4792
- Fax
- (717) 786-4794
- NPI assigned
- Sep 25, 2013
- Last updated
- Sep 25, 2013
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC010770 | PA | Primary |
Addresses
Primary practice location
1135 Georgetown Road
Suite 120
Bart, PA 17503-9999
Mailing address
1135 Georgetown Road
Suite 120
Bart, PA 17503-9999
Phone (717) 786-4792
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 |
|---|---|---|---|
| DC010770 | PA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380067200000",
"number": "1861828550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1135 GEORGETOWN ROAD",
"address_2": "SUITE 120",
"city": "BART",
"state": "PA",
"postal_code": "175039999",
"telephone_number": "717-786-4792",
"fax_number": "717-786-4794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1135 GEORGETOWN ROAD",
"address_2": "SUITE 120",
"city": "BART",
"state": "PA",
"postal_code": "175039999",
"telephone_number": "717-786-4792",
"fax_number": "717-786-4794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "JEROME",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "D.C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-09-25",
"last_updated": "2013-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC010770",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bart, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.