John K Martin, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7770 Issued in GA

Practice address

64 Boulevard Ste 102
Toccoa, GA 30577-3043

Phone

(706) 282-4507

Fax

(706) 282-4511

NPI assigned

Nov 14, 2006

Sex

Male

Sole proprietor

No

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

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.

• Stephens County Board of Health

  • Public Health or Welfare Agency
  • Toccoa, GA
  • NPI 1225091028
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475020800000",
    "number": "1083786412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 BEVERLY RD",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012034",
            "telephone_number": "770-536-8871",
            "fax_number": "770-536-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 BOULEVARD STE 102",
            "city": "TOCCOA",
            "state": "GA",
            "postal_code": "305773043",
            "telephone_number": "706-282-4507",
            "fax_number": "706-282-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JOHN",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2016-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "7770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerlene Lawrence
• Sherry Lynn Lawson
• Rebecca Joan Lovell
• Elvira D Malek
• Michael L Maley, MD
• Lindsay Chitwood Martin, O.D.
• Mark Aaron Matthews, M.D.
• Mark Christopher Mazzoni, L.P.C.
• Joyce McCollum, NP-C
• Harry Cledson McDonald, M.D.

• General Practice Dentistry in Toccoa, GA
• Providers in Toccoa, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.