Kenneth Martin Jr., AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

51369 Issued in TX

Practice address

710 N High St
Longview, TX 75601-5330

Phone

(903) 234-8151

Fax

(903) 234-8758

NPI assigned

Jun 29, 2006

Last updated

Aug 16, 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Qualified Audiologist

Education

At Still University, Arizona School of Dentistry & Oral HLTH, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281916800000",
    "number": "1093743858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3324",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756063324",
            "telephone_number": "903-234-8151",
            "fax_number": "903-234-8758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 N HIGH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015330",
            "telephone_number": "903-234-8151",
            "fax_number": "903-234-8758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "KENNETH",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2010-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "51369",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "TX",
            "license": "51369",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jay A Marsolan, NP
• Keisha Danielle Marsolan, APRN-CNP
• Allyson Tilley Martin, PHARMD
• Baylee Martin, LPC
• Charles R Martin, MD
• Laura McAlpin Martin, M.D.
• Theresa A Martin, MD
• Abigail Renae Martinez
• Joshua Shane Martinez, LCDC-I, MHPS, CHW
• Radames Martinez Jr., MD

• Audiologist in Longview, TX
• Providers in Longview, TX by specialty
• Audiologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.