Active NPI
Dennis C Martin, DDS
- General Practice Dentistry
- Lincoln, NE
National Provider Identifier
1033197066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6286
- Practice address
- 4700 Normal Blvd
Lincoln, NE 68506-5562 - Phone
- (402) 488-7020
- Fax
- (402) 488-2017
- NPI assigned
- Jan 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6286 | NE | Primary |
Addresses
Primary practice location
4700 Normal Blvd
Lincoln, NE 68506-5562
Mailing address
4700 Normal Blvd
Lincoln, NE 68506-5562
Phone (402) 488-7020
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 |
|---|---|---|---|
| 6286 | NE | MD | Mental Health Counselor |
Networks
- CO HMO D-SNP
- IA HMO C-SNP
- CO HMO C-SNP
- devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690761600000",
"number": "1033197066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 NORMAL BLVD",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685065562",
"telephone_number": "402-488-7020",
"fax_number": "402-488-2017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 NORMAL BLVD",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685065562",
"telephone_number": "402-488-7020",
"fax_number": "402-488-2017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "DENNIS",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-09",
"last_updated": "2023-07-31",
"certification_date": "2023-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NE",
"license": "6286",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.