Kenneth R, Marti DDS Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

27453 Issued in CA

Legal business name

KENNETH R, MARTI DDS INC.

Practice address

6049 Douglas Blvd
Suite 9
Granite Bay, CA 95746-6284

Phone

(916) 791-4133

Fax

(916) 791-1659

NPI assigned

Apr 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth R. Marti, DDS INC.

Title

Owner

Phone

(916) 791-4133

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093931396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6049 DOUGLAS BLVD",
            "address_2": "SUITE 9",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957466284",
            "telephone_number": "916-791-4133",
            "fax_number": "916-791-1659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6049 DOUGLAS BLVD",
            "address_2": "SUITE 9",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957466284",
            "telephone_number": "916-791-4133",
            "fax_number": "916-791-1659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH R, MARTI DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTI",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-791-4133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS INC."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "27453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan N Johnson, MFT
• Alicia Jordan Chambers
• Trina Juarez
• Neil Kumar Kalia, D.C.
• Amanpreet Kaur
• Kevin G. Lockhart, O.D., Inc
• Khushwinder S Garcha MD, Inc
• Ashley King
• Tyler Knobel
• Richard Koenig

• Dental Clinic/Center in Granite Bay, CA
• Providers in Granite Bay, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.