DR. PATRICK MARTIN DC
NPI 1699364646
Chiropractor in Hailey, ID

Active since January 14, 2021
91 E CROY ST UNIT B, HAILEY, ID 83333(208) 293-6604 Get Directions Write a Review

NPPES record last updated: October 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 7, 2021, Jan 14, 2021 (2 updates tracked since 2021).

About Dr. Patrick Martin Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PATRICK MARTIN DC (NPI 1699364646) is an individual chiropractor in Hailey, Idaho, licensed in Idaho (2086) and active in the NPI registry since January 2021. He maintains a secondary practice location in Ketchum and is a graduate of Palmer College Chiropractic - Davenport (1998).

NPPES Registry Identity

NPI1699364646
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. PATRICK MARTINCredential: DC
Location Address91 E CROY ST UNIT BHailey, ID 83333-8877
Mailing AddressPo Box 4528Ketchum, ID 83340-4601
Sole ProprietorYes
Medical School CMSPalmer College Chiropractic - DavenportGraduated 1998
Enumeration DateJanuary 14, 2021
Last NPPES UpdateOctober 28, 20212 updates tracked since enumeration
NPPES CertifiedOctober 8, 2021
NPI 1699364646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in ID · 2086
Definition
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.
91 E CROY ST UNIT B, Hailey, ID 83333

Secondary Practice Location 1

Location 182 E Meadows DriveKetchum, ID 83340 · Phone (208) 293-6604

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Patrick Martin Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9133010515
PECOS Enrollment IDI20210916003488

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Patrick Martin's NPI number?

The NPI number for Patrick Martin is 1699364646. It was assigned to this individual provider in the NPPES registry on January 14, 2021.

Where is Patrick Martin located?

Patrick Martin practices at 91 E Croy St Unit B, Hailey, ID 83333. The listed phone number is (208) 293-6604.

What is Patrick Martin's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Patrick Martin enrolled in Medicare?

Yes. Patrick Martin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Patrick Martin was last updated on October 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.