Active NPI
R. E. Martin, Jr., DDS, PA
- Dental Clinic/Center
- High Point, NC
National Provider Identifier
1013113166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 4512
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- High Point, NC
- NPI 1316470511
-
- Dentist
- High Point, NC
- NPI 1942825864
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.