DR. IVAN SOTO-MARTINEZ DC
NPI 1962217430
Chiropractor in Grandview, WA

Q: What is Ivan Soto-martinez's NPI number?

The NPI number for Ivan Soto-martinez is 1962217430. It was assigned to this individual provider in the NPPES registry on February 11, 2025.

Q: What is Ivan Soto-martinez's specialty?

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

Active since February 11, 2025Accepts Medicare Assignment

403 N EUCLID ST, GRANDVIEW, WA 98930(509) 402-9020(509) 402-9036 Get Directions Write a Review

NPPES record last updated: February 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Ivan Soto-martinez Dc NPPES

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

DR. IVAN SOTO-MARTINEZ DC (NPI 1962217430) is an individual chiropractor in Grandview, Washington, licensed in Washington (CH61624680) and active in the NPI registry since February 2025. He is a graduate of Western States College Of Chiropractic (2024).

NPPES Registry Identity

NPI1962217430

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. IVAN SOTO-MARTINEZCredential: DC

Location Address403 N EUCLID STGrandview, WA 98930-9407

Mailing Address403 N Euclid StGrandview, WA 98930-9407 · (509) 402-9020 · Fax (509) 402-9036

Phone(509) 402-9020

Fax(509) 402-9036

Sole ProprietorNo

Medical School CMSWestern States College Of ChiropracticGraduated 2024

Enumeration DateFebruary 11, 2025

NPPES CertifiedFebruary 11, 2025

✔ NPI 1962217430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in WA · CH61624680

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.

403 N EUCLID ST, Grandview, WA 98930

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ivan Soto-martinez Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385154616

PECOS Enrollment IDI20250606001187

Medicare Billing Reassignment

Medicare enrollment records show Ivan Soto-martinez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Camacho Chiropractic And Sports Medicine LLC

Same address

Rehabilitation

403 N EUCLID ST
Grandview, WA 98930

Reassigned Medicare billing, Washington enrollment
2 clinicians in this Medicare group

NPI 1013488360 (509) 402-9020

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FRED C. BOBOTH O.D., P.S.

Optometrist