Janet Elaine Martin, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1916175 Issued in IL

Practice address

3740 E Lake Ctr
Suite B
Quincy, IL 62305-5805

Phone

(217) 214-4545

Fax

(217) 214-4546

NPI assigned

Mar 20, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Janet Elaine Martin Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Custom Dental Care, P.C.

  • Dentist
  • Quincy, IL
  • NPI 1932452893
  NPD (past)

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463616000000",
    "number": "1043335292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3740 E LAKE CTR",
            "address_2": "SUITE B",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623055805",
            "telephone_number": "217-214-4545",
            "fax_number": "217-214-4546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3740 E LAKE CTR",
            "address_2": "SUITE B",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623055805",
            "telephone_number": "217-214-4545",
            "fax_number": "217-214-4546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JANET",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2016-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "1916175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANET",
            "last_name": "MARTIN",
            "middle_name": "ELAINE",
            "prefix": "DR.",
            "credential": "D.M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Mark Wiegand DC SC
• Michael Marshall, NP
• Rachel Ruth Marshall, CRNA
• Ashley Jo Martin, MD
• Eric R Martin, PHARM.D.
• Jennifer Martin
• Rita M Martin, P.A.
• Sara A Martin, FNP
• Mary C. Miller MD PC
• Julie Marie Masters, PHARMD

• General Practice Dentistry in Quincy, IL
• Providers in Quincy, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; 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.