Jeffrey William Martz, DMD

Primary specialty

Dental AnesthesiologyTaxonomy code 1223D0004X

License

DS035406 Issued in PA

Practice address

10154 Woodbury Dr
Wexford, PA 15090-9580

Phone

(724) 759-7948

Fax

(724) 759-7952

NPI assigned

Nov 1, 2006

Last updated

Apr 26, 2015By 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

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

• Jeffrey W Martz DMD LLC

  • Dental Anesthesiology
  • Wexford, PA
  • NPI 1619433976
  Authorized official Same address or phone

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430006400000",
    "number": "1083792634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 BITTERSWEET CIR",
            "city": "VENETIA",
            "state": "PA",
            "postal_code": "153671000",
            "telephone_number": "412-996-0889",
            "fax_number": "724-260-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10154 WOODBURY DR",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909580",
            "telephone_number": "724-759-7948",
            "fax_number": "724-759-7952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTZ",
        "first_name": "JEFFREY",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2015-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "PA",
            "license": "DS035406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVESIS (UPMC FOR YOU)",
            "identifier": "130",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY (UNITED CONCORDIA)",
            "identifier": "1418485",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019087640002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1418485",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1083792643",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "170826",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Martella
• Martin G Gregorio MD and Associates PC
• Amanda Martin, LPC, NCC
• Katelyn Taylor Martini, DPT
• Danielle E Martrano, PA
• Thomas G Mason, CRNA
• Massucci Vision Plus LLC
• Maura E Massucci, OD
• Kelly M. Matheis, CRNA
• Xiaoming Matz

• Dental Anesthesiology in Wexford, PA
• Providers in Wexford, PA by specialty
• Dental Anesthesiology in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2015; 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.