Active NPI
Martin Mytas, D.C.
- Chiropractor
- Cashton, WI
National Provider Identifier
1972677136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4213-012
- Practice address
- 1103 Front St
Cashton, WI 54619-8028 - Phone
- (608) 654-5200
- Fax
- (608) 654-8002
- NPI assigned
- Nov 20, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 4213-012 | WI | Primary |
Addresses
Primary practice location
1103 Front St
Cashton, WI 54619-8028
Mailing address
1103 Front St
Cashton, WI 54619-8028
Phone (608) 654-5200
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4213-012 | WI | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463443200000",
"number": "1972677136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1103 FRONT ST",
"city": "CASHTON",
"state": "WI",
"postal_code": "546198028",
"telephone_number": "608-654-5200",
"fax_number": "608-654-8002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1103 FRONT ST",
"city": "CASHTON",
"state": "WI",
"postal_code": "546198028",
"telephone_number": "608-654-5200",
"fax_number": "608-654-8002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYTAS",
"first_name": "MARTIN",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-20",
"last_updated": "2016-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "4213-012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cashton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.