Organization Active NPI

R. E. Martin, Jr., DDS, PA

  • Dental Clinic/Center
  • High Point, NC
National Provider Identifier
1013113166
Registry record updated Apr 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
4512 Issued in NC
Legal business name
R. E. MARTIN, JR., DDS, PA
Practice address
1007 Phillips Ave Ste 103
High Point, NC 27262-7068
Phone
(335) 889-4733
NPI assigned
Jun 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2017

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

Authorized official

Name
Dr. R E Martin Jr., DDS
Title
Owner
Phone
(336) 889-4733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 4512 NC Primary

Addresses

Primary practice location

1007 Phillips Ave Ste 103
High Point, NC 27262-7068

Mailing address

1007 Phillips Ave Ste 103
High Point, NC 27262-7068
Phone (335) 889-4733

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491350400000",
    "number": "1013113166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 PHILLIPS AVE STE 103",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272627068",
            "telephone_number": "335-889-4733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 PHILLIPS AVE STE 103",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272627068",
            "telephone_number": "335-889-4733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. E. MARTIN, JR., DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2017-04-05",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "R",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-889-4733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NC",
            "license": "4512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; 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.