Active NPI
Thomas Daniel Martinez, D.C.
- Chiropractor
- Jenison, MI
National Provider Identifier
1982667440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301009148
- Practice address
- 996 Chicago Dr
Jenison, MI 49428-9351 - Phone
- (616) 457-0070
- Fax
- (616) 457-0991
- NPI assigned
- Apr 7, 2006
- Last updated
- Aug 9, 2007
- 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 | 2301009148 | MI | Primary |
Addresses
Primary practice location
996 Chicago Dr
Jenison, MI 49428-9351
Mailing address
996 Chicago Dr
Jenison, MI 49428-9351
Phone (616) 457-0070
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 |
|---|---|---|---|
| 2301009148 | MI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quest Health System XII PLLC | Chiropractor | Past | Accepting new patients |
| Quest Health Systems IV, PLLC | Chiropractor | Past | Accepting new patients |
| Milwood Spine Center LLC | Chiropractor | Past | Accepting new patients |
| Caring Hands Chiropractic, P.C. | Chiropractor | Past | Accepting new patients |
| Southwest Spine Center PLLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Battle Creek, MI
- NPI 1689608531
-
- Chiropractor
- Colon, MI
- NPI 1902176597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186617600000",
"number": "1982667440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "996 CHICAGO DR",
"city": "JENISON",
"state": "MI",
"postal_code": "494289351",
"telephone_number": "616-457-0070",
"fax_number": "616-457-0991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "996 CHICAGO DR",
"city": "JENISON",
"state": "MI",
"postal_code": "494289351",
"telephone_number": "616-457-0070",
"fax_number": "616-457-0991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "THOMAS",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-07",
"last_updated": "2007-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301009148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jenison, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.