Active NPI
Rickey Lee Martin, D.D.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Baton Rouge, LA
National Provider Identifier
1114003217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 3001
- Practice address
- 7707 Old Hammond Hwy Ste 4
Baton Rouge, LA 70809-1262 - Phone
- (225) 925-9795
- Fax
- (225) 925-9791
- NPI assigned
- Oct 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 3001 | LA | Primary |
Addresses
Primary practice location
7707 Old Hammond Hwy Ste 4
Baton Rouge, LA 70809-1262
Mailing address
7707 Old Hammond Hwy Ste 4
Baton Rouge, LA 70809-1262
Phone (225) 925-9795
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3001 | LA | MD | Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114003217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7707 OLD HAMMOND HWY STE 4",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708091262",
"telephone_number": "225-925-9795",
"fax_number": "225-925-9791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7707 OLD HAMMOND HWY STE 4",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708091262",
"telephone_number": "225-925-9795",
"fax_number": "225-925-9791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "RICKEY",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "LA",
"license": "3001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.