JB Martin IV, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

7603 Issued in VA

Practice address

446 Effingham St FL 1
Portsmouth, VA 23704-3464

Phone

(757) 224-3006

Fax

(757) 234-8891

NPI assigned

Nov 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555027200000",
    "number": "1114093937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 KILN CREEK PKWY STE P",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236935648",
            "telephone_number": "757-369-1754",
            "fax_number": "757-234-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 EFFINGHAM ST FL 1",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237043464",
            "telephone_number": "757-224-3006",
            "fax_number": "757-234-8891"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "237 Hanbury Rd E Ste 30",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233226622",
            "country_code": "US",
            "telephone_number": "757-224-3006",
            "fax_number": "757-234-8891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JB",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-24",
        "last_updated": "2019-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "7603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008200025",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "003366225",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "003366242",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Michael Marsh, PA-C
• Nathan A. Marsh
• Ernest Marshall
• Robin A C Marshall, MD
• Angela W Martin, CCC-SLP
• Marquita Latoria Martin
• Merle Blair Martin II, M.D.
• Paxton Thomas Martin
• Tamara Martin, CRNA
• Wayne A. (Initial Only) Martin, L.C.S.W.

• Pediatric Dentistry in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Pediatric Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; 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.