Martinsondriscoll D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MARTINSONDRISCOLL D.D.S.

Practice address

2050 M 119
Petoskey, MI 49770-8962

Phone

(231) 347-7471

Fax

(231) 347-7836

NPI assigned

Jul 30, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Leslie Jo Swenor

Title

Office Manager

Phone

(231) 347-7471

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Johnna Lorie Driscoll, DDS

  • General Practice Dentistry
  • Petoskey, MI
  • NPI 1730194515
  NPD (past)
• Julie Marie Martinson, DDS

  • General Practice Dentistry
  • Petoskey, MI
  • NPI 1326053109
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003821893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 M 119",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708962",
            "telephone_number": "231-347-7471",
            "fax_number": "231-347-7836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 M 119",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708962",
            "telephone_number": "231-347-7471",
            "fax_number": "231-347-7836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTINSONDRISCOLL D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SWENOR",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "231-347-7471"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "D811511",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua D Martin, DNP-NP/C
• Melissa A Martin, MA, LPC, LLMFT
• Michael Martin, MD
• Stacey L. Martin, LPTA
• Julie Marie Martinson, DDS
• Trevor Matelski
• Matthew L Visconti MD LLC
• Ashley Matusz-Fisher, MD
• Allen Scott Mays
• Patricia L Maza

• General Practice Dentistry in Petoskey, MI
• Providers in Petoskey, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.