DR. JACK KENNARD MARTIN (NPI# 1700915279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700915279 |
| Entity Type | Individual |
| Full Name | DR. JACK KENNARD MARTIN |
| Credential | D.C. |
| Practice Address |
203 S Bridge St Dewitt MI 48820-8911 |
| Mailing Address |
12812 Ontonagon Dr Dewitt MI 48820-8676 |
| Practice Telephone | 5176686750 |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2019-09-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2301009326 | MI | Chiropractic Providers |
| N | 111NS0005X |
Chiropractor Specialization: Sports Physician |
2301009326 | MI | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073707998 | Jack Frederick Martin Sr. | Orthopaedic Surgery | 1220 Aspen Way, Jack F Martin Md, Petoskey, MI 49770 | 2007-09-04 |
| 1003914342 | Jack Richard Martin | Chiropractor | 1601 East Main Street, Suite 1b, St Charles, IL 60174 | 2006-09-20 |
| 1942206214 | Jack L Martin | Internal Medicine | 18615 Tuscany Stone, Suite 170, San Antonio, TX 78258-3498 | 2005-06-22 |
| 1417592817 | Jack Martin | Counselor | 5675 W Olympic Blvd, Los Angeles, CA 90036-4712 | 2019-11-10 |
| 1255574521 | Jack Robert Martin | Psychologist | 1300 National Dr, Suite 170, Sacramento, CA 95834-1947 | 2009-04-15 |
| 1831309269 | Jack Martin | Counselor | 5934 S Staples St, Suite 210, Corpus Christi, TX 78413-3842 | 2007-05-23 |
| 1790879765 | Jack W. Martin | Dentist | 1515 Holcombe Blvd, Houston, TX 77030-4009 | 2006-10-03 |
| 1932159878 | Jack T. Martin | Radiology | 4518 Union Deposit Rd, Harrisburg, PA 17111-2910 | 2006-05-11 |
| Street Address |
203 S BRIDGE ST |
| City | DEWITT |
| State | MI |
| Zip Code | 48820-8911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215587233 | Jack K Martin Dc Pllc | Chiropractor | 203 S Bridge St, Dewitt, MI 48820-8911 | 2019-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164070660 | Safa Abugroun | Pharmacist | 13020 Old Us 27, Dewitt, MI 48820 | 2019-08-28 |
| 1881113645 | Joseph Wesley Zielinski | Physical Therapist | 13105 Shavey Rd. Suite 5, Dewitt, MI 48820 | 2017-09-13 |
| 1366979973 | Brianna Bishop | Behavior Technician | 12450 Airport Rd, Dewitt, MI 48820 | 2017-05-12 |
| 1376882290 | Elements Behavioral Health Pllc | Social Worker | 1651 Pratt Rd, Dewitt, MI 48820 | 2013-02-13 |
| 1265697478 | Abigail Balger | Emergency Medicine | 805 E Geneva Dr, Dewitt, MI 48820 | 2008-07-28 |
| 1992910483 | Heide Ann Novack | Pharmacist | 13157 1/2 Schavey, Dewitt, MI 48820 | 2007-05-10 |
| 1275667321 | Andrea K Simons | Podiatrist | 13105 Schavey Road, Suite 2, Dewitt, MI 48820 | 2007-03-14 |
| 1649222423 | Dewitt Optometry PC | Optometrist | 12900 S Us-27, #7, Dewitt, MI 48820 | 2006-05-17 |
| 1700884467 | Michael R. Bunce | Pharmacist | 128 S Bridge St, Dewitt, MI 48820 | 2005-07-07 |
| 1023439452 | Mary Sieben | Pharmacist | 12821 Crossover Dr, Meijer Pharmacy 209, Dewitt, MI 48820 | 2014-01-03 |
| Find all providers in zip 48820 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083987572 | Balance Your Life Chiropractic PC | Chiropractor | 13105 Schavey Rd Ste 6, Dewitt, MI 48820-9037 | 2012-02-15 |
| 1255599981 | Patricia Ann Sheil | Chiropractor | 604 10th Street, Dewitt, IA 52742 | 2008-05-29 |
| 1093831398 | Jamie Lanelle Mcferrin | Chiropractor | 803 S Whitehead Dr, Dewitt, AR 72042-3704 | 2007-03-21 |
| 1952380057 | Bonnie L Bauer | Chiropractor | 306 11th St, Dewitt, IA 52742-1404 | 2006-01-17 |
| 1346225687 | Richard A Lezotte | Chiropractor | 1120 Commerce Park Dr, Suite D, Dewitt, MI 48820-7967 | 2005-12-09 |
| 1215587233 | Jack K Martin Dc Pllc | Chiropractor | 203 S Bridge St, Dewitt, MI 48820-8911 | 2019-09-12 |
| 1265706659 | Chambers Walk-in Chiropractic LLC | Chiropractor | 12775 Escanaba Dr, Suite 5, Dewitt, MI 48820-8615 | 2012-03-02 |
| 1689965766 | Kimberly Kareen Miller Beard | Chiropractor | 13105 Schavey Rd, Suite 6, Dewitt, MI 48820-9008 | 2011-04-25 |
| 1487957940 | Randall H Chambers | Chiropractor | 12775 Escanaba Dr, Suite 5, Dewitt, MI 48820-8615 | 2010-12-06 |
| 1710152012 | Downtown Dewitt Chiropractic, P.C. | Chiropractor | 109 W Main St, Dewitt, MI 48820-8946 | 2008-04-28 |
| Find all providers in DEWITT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.