William Scott Martin, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2086-84 Issued in MS

Practice address

1615 Old Amy Rd
Laurel, MS 39440-2139

Phone

(601) 649-2010

NPI assigned

Mar 2, 2007

Last updated

May 14, 2010By the provider in NPPES

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

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273795200000",
    "number": "1053440651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 OLD AMY RD",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394402139",
            "telephone_number": "601-649-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 OLD AMY RD",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394402139",
            "telephone_number": "601-649-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "WILLIAM",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2010-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "2086-84",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Brett Manning, PHARMD
• Rochelle Z. Manning, SLP
• Constance Hope Marshall, MOTR/L
• Matthew Martin
• Sammie Martin, M.S.
• Donaldo Martinez Vicente
• James H Masters, CIDDT
• Laura Amanda Mathews, ED.S., CCC-SLP
• Christopher L Mauldin, MD
• Jeremy Mauldin, CRNA

• General Practice Dentistry in Laurel, MS
• Providers in Laurel, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2010; 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.

Verify at the official NPI Registry.