Organization Active NPI

Jose Carlo Martinez

  • Chiropractor
  • Joliet, IL
National Provider Identifier
1972966034
Registry record updated Apr 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038012953 Issued in IL
Legal business name
JOSE CARLO MARTINEZ
Practice address
2611 E Cass St
Joliet, IL 60432-9761
Phone
(815) 768-9137
NPI assigned
Apr 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2016

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

Authorized official

Name
Dr. Jose Carlo Martinez, D.C
Title
Chiropractor
Phone
(815) 768-9137

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038012953 IL Primary

Addresses

Primary practice location

2611 E Cass St
Joliet, IL 60432-9761

Mailing address

2611 E. Cass Street
Joliet, IL 60432
Phone (815) 768-9137

Other identifiers 1

IdentifierTypeStateIssuer
038012953OtherILSTATE OF ILLINOIS LICENSE

National Provider Directory

National Provider Directory

Locations

2611 E Cass St
Joliet, IL 60432
Phone (815) 768-9137

NPI Registry JSON

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

{
    "created_epoch": "1459814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459814400000",
    "number": "1972966034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 E. CASS STREET",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "60432",
            "telephone_number": "815-768-9137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 E CASS ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604329761",
            "telephone_number": "815-768-9137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE CARLO MARTINEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-05",
        "last_updated": "2016-04-05",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "CARLO",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "815-768-9137",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ILLINOIS LICENSE",
            "identifier": "038012953",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.

Verify at the official NPI Registry.