Provider Demographics
NPI:1518762004
Name:MARTINEZ, JOHN ADAM (DC)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:ADAM
Last Name:MARTINEZ
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34279 OUTLOOK RD
Mailing Address - Street 2:
Mailing Address - City:HOTCHKISS
Mailing Address - State:CO
Mailing Address - Zip Code:81419-6741
Mailing Address - Country:US
Mailing Address - Phone:720-285-9256
Mailing Address - Fax:
Practice Address - Street 1:2805 N DOWNING ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80205-4411
Practice Address - Country:US
Practice Address - Phone:720-285-9256
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-18
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO7012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor