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Deactivated NPI 1457365868 Deactivated / Inactive NPI Male Practitioner

Dr. John Otto Marty , DC

Chiropractor • Excelsior, MN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Marty has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 28, 2006
NPI Deactivation Date July 16, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. John Marty, DC was a registered Chiropractor practicing in Excelsior, MN. Throughout an active medical career spanning 13 years, Dr. Marty provided care at the practice location at 464 SECOND STREET until profile deactivation on 2019-07-16.

Practice Location & Contact Primary Location

Practice Address

464 Second Street
Ste 200

Excelsior, MN 55331

Telephone 9524744121
Fax 9524748391
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Excelsior, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.7 Yrs
State Avg: 22.5 Yrs
Regional Practice Density
36 Specialists

Practicing in Excelsior, MN (3487 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License MN 982

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Giovanni Riva , CMT

Massage Therapist

NPI 1134559339

Certified Massage Therapist

NPI 1275547689

Doctor of Chiropractic

NPI 1578587242

Doctor of Chiropractic

NPI 1811046980

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 16, 2019

Record deactivated on July 16, 2019

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 464 SECOND STREET, STE 200, EXCELSIOR, MN 55331 (Tel: 9524744121)

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Updated Business Mailing Address July 08, 2007

Registered at 464 SECOND STREET, STE 200, EXCELSIOR, MN 55331 (Tel: 9524744121)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN MARTY, DC

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Chiropractor (License #982 in MN)

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Initial NPI Registration & Enumeration July 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1457365868
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 28, 2006
Last Update: July 08, 2007
Deactivation Date: July 16, 2019

Mailing Address

464 Second Street, Ste 200

Excelsior, MN 55331

Phone: 9524744121

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.