Active NPI
Robert Douglas Martin, DDS
- Dentist
- Washington CH, OH
National Provider Identifier
1003969742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 15183
- Practice address
- 3 Commercial Avenue
Washington C H, OH 43160 - Phone
- (740) 335-7007
- Fax
- (740) 335-8989
- NPI assigned
- Jan 18, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 15183 | OH | Primary |
Addresses
Primary practice location
3 Commercial Avenue
Washington C H, OH 43160
Mailing address
1107 Farmington Lane
Washington C H, OH 43160
Phone (740) 335-1722
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 |
|---|---|---|---|
| 15183 | OH | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003969742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1107 FARMINGTON LANE",
"city": "WASHINGTON C H",
"state": "OH",
"postal_code": "43160",
"telephone_number": "740-335-1722",
"fax_number": "740-335-8989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 COMMERCIAL AVENUE",
"city": "WASHINGTON C H",
"state": "OH",
"postal_code": "43160",
"telephone_number": "740-335-7007",
"fax_number": "740-335-8989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "ROBERT",
"middle_name": "DOUGLAS",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "15183",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington CH, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.