NPIMap

Organization Active NPI

John C. Martin D.M.D., M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Winder, GA
National Provider Identifier
1114064086
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
008367 Issued in GA
Legal business name
JOHN C. MARTIN D.M.D., M.S.
Practice address
17 Monroe Hwy
Suite CC & DD
Winder, GA 30680-7186
Phone
(678) 963-9888
Fax
(678) 963-9871
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
John C Martin, D.M.D., M.S.
Title
Orthodontist
Phone
(678) 963-9888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 008367 GA Primary

Addresses

Primary practice location

17 Monroe Hwy
Suite CC & DD
Winder, GA 30680-7186

Mailing address

17 Monroe Hwy
Suite CC & DD
Winder, GA 30680-7186
Phone (678) 963-9888

National Provider Directory

National Provider Directory
Tax ID family
John C Martin DMD Ms5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

17 Monroe Hwy
Ste Cc
Winder, GA 30680
Phone (678) 963-9888

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114064086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 MONROE HWY",
            "address_2": "SUITE CC & DD",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306807186",
            "telephone_number": "678-963-9888",
            "fax_number": "678-963-9871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 MONROE HWY",
            "address_2": "SUITE CC & DD",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306807186",
            "telephone_number": "678-963-9888",
            "fax_number": "678-963-9871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN C. MARTIN D.M.D., M.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "678-963-9888",
        "authorized_official_credential": "D.M.D., M.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "GA",
            "license": "008367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winder, GA

Sources for this page

  • 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.