Noel Quentin Martin II, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

012126 Issued in MO

Practice address

7626 Wydown Blvd
Saint Louis, MO 63105-2676

Phone

(314) 721-5161

Fax

(314) 721-5162

NPI assigned

May 23, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023228251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7626 WYDOWN BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631052676",
            "telephone_number": "314-721-5161",
            "fax_number": "314-721-5162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7626 WYDOWN BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631052676",
            "telephone_number": "314-721-5161",
            "fax_number": "314-721-5162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "NOEL",
        "middle_name": "QUENTIN",
        "name_suffix": "II",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "012126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Elizabeth Martin, COTA/L
• Nathan R Martin, MD
• Nelda Martin
• Nicholas James Martin, PHARM. D.
• Nicolas Clay Martin, D.P.M.
• Norma Martin, RN
• Paula B Martin, C.N.S.
• Philip L Martin, MD
• Raven Rena Martin
• Rick A Martin, MD

• General Practice Dentistry in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• General Practice Dentistry in Missouri

• 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.

Verify at the official NPI Registry.