Innate Medical Solutions PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

AP123042 Issued in TX

Legal business name

INNATE MEDICAL SOLUTIONS PLLC

Practice address

7504 San Jacinto PL
Plano, TX 75024-3233

Phone

(972) 789-1234

NPI assigned

Feb 24, 2016

Last updated

Nov 17, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gary Dewayne Martin, DCNPI 1326126673

Title

Pres

Phone

(972) 789-1234

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gary Dewayne Martin Jr., D.C.

  • Neurology Chiropractor
  • Dallas, TX
  • NPI 1326126673
  Authorized official Same address or phone

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

{
    "created_epoch": "1456272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605571200000",
    "number": "1902266539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7504 SAN JACINTO PL",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243233",
            "telephone_number": "972-789-1234",
            "fax_number": "972-665-6557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7504 SAN JACINTO PL",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243233",
            "telephone_number": "972-789-1234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "514 E Corsicana St",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "TX",
            "postal_code": "757512506",
            "country_code": "US",
            "telephone_number": "903-804-4232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4323 N Josey Ln Ste 107",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "TX",
            "postal_code": "750104619",
            "country_code": "US",
            "telephone_number": "972-528-7990",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17218 Preston Rd Ste 2150",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752524018",
            "country_code": "US",
            "telephone_number": "972-789-1234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "128 N Highway 77",
            "address_purpose": "LOCATION",
            "city": "Waxahachie",
            "state": "TX",
            "postal_code": "751651800",
            "country_code": "US",
            "telephone_number": "972-938-7319",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "521 N Beaton St",
            "address_purpose": "LOCATION",
            "city": "Corsicana",
            "state": "TX",
            "postal_code": "751103142",
            "country_code": "US",
            "telephone_number": "903-307-3177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2200 Physicians Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Ennis",
            "state": "TX",
            "postal_code": "751196248",
            "country_code": "US",
            "telephone_number": "903-804-4232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "749 N Waldrip St",
            "address_purpose": "LOCATION",
            "city": "Grand Saline",
            "state": "TX",
            "postal_code": "751401555",
            "country_code": "US",
            "telephone_number": "903-804-4232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "166 Heritage Pkwy",
            "address_purpose": "LOCATION",
            "city": "Gun Barrel City",
            "state": "TX",
            "postal_code": "751563712",
            "country_code": "US",
            "telephone_number": "903-804-4232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INNATE MEDICAL SOLUTIONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-24",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "DEWAYNE",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "972-789-1234",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "AP123042",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Plano, TX
• Providers in Plano, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; 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.