Krystle Rose Martinez

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC16970 Issued in CA

Practice address

16 Miller Ave Ste 204
Mill Valley, CA 94941-1932

Phone

(805) 729-5080

NPI assigned

Jun 6, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Point Practice Inc

  • Acupuncturist
  • Mill Valley, CA
  • NPI 1023587284
  NPD (past) Authorized official

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544054400000",
    "number": "1902335631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 MANOR DR",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949411385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 MILLER AVE STE 204",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949411932",
            "telephone_number": "805-729-5080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "246 Manor Dr",
            "address_purpose": "LOCATION",
            "city": "Mill Valley",
            "state": "CA",
            "postal_code": "949411385",
            "country_code": "US",
            "telephone_number": "415-569-7229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "KRYSTLE",
        "middle_name": "ROSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-06",
        "last_updated": "2018-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC16970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Mariotti, NP, MPH
• Mark O Manoukian Dental Corp
• Marsha J. Bluto, M.D., a Professional Corporation
• Alexis A Martinez, PA-C
• John Michael Martinez, M.D.
• Harris Avery Masket, M.D.
• Altha Gail Mason
• Robert Mass, MD
• Erik Mathon, D.C.
• Alexandra Matthews, PH.D.

• Acupuncturist in Mill Valley, CA
• Providers in Mill Valley, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.