Active NPI
Martin Anthony Hritz, D.M.D.
- Dentist
- Columbia Station, OH
National Provider Identifier
1043260367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 20967
- Practice address
- 26495 Royalton Rd
Columbia Station, OH 44028-9402 - Phone
- (440) 236-5478
- NPI assigned
- May 10, 2006
- 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 | 20967 | OH | Primary |
Addresses
Primary practice location
26495 Royalton Rd
Columbia Station, OH 44028-9402
Mailing address
23240 Snell Rd
Columbia Station, OH 44028-9625
Phone (440) 238-7482
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130916000772 | OH | Order and Referring Only - Oral Surgery | 7012151954 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20967 | OH | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294704000000",
"number": "1043260367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23240 SNELL RD",
"city": "COLUMBIA STATION",
"state": "OH",
"postal_code": "440289625",
"telephone_number": "440-238-7482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26495 ROYALTON RD",
"city": "COLUMBIA STATION",
"state": "OH",
"postal_code": "440289402",
"telephone_number": "440-236-5478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HRITZ",
"first_name": "MARTIN",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2011-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "20967",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia Station, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.