Active NPI
Keasha Martin
- Dental Hygienist
- Shaw Afb, SC
National Provider Identifier
1003780966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH34302
- Practice address
- 449 Meadowlark St
Shaw Afb, SC 29152 - Phone
- (803) 895-6988
- NPI assigned
- Oct 2, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DH34302 | FL | Primary |
Addresses
Primary practice location
449 Meadowlark St
Shaw Afb, SC 29152
Mailing address
449 Meadowlark, BLDG 1046
Shaw Afb, SC 29152
Phone (803) 895-6988
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DH34302 | FL | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759363200000",
"number": "1003780966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "449 MEADOWLARK, BLDG 1046",
"city": "SHAW AFB",
"state": "SC",
"postal_code": "29152",
"telephone_number": "803-895-6988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "449 MEADOWLARK ST",
"city": "SHAW AFB",
"state": "SC",
"postal_code": "29152",
"telephone_number": "803-895-6988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "KEASHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-10-02",
"last_updated": "2025-10-02",
"certification_date": "2025-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "FL",
"license": "DH34302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shaw Afb, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.