Active NPI
Alexander Martin, R.D.
- Registered Dietitian
- Leeds, MA
National Provider Identifier
1114347945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 000003629
- Practice address
- 421 N Main St # B5R119
Leeds, MA 01053-9764 - Phone
- (774) 262-9972
- NPI assigned
- Apr 19, 2014
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 000003629 | MA | Primary |
Addresses
Primary practice location
421 N Main St # B5R119
Leeds, MA 01053-9764
Mailing address
421 N Main St # B5R119
Leeds, MA 01053-9764
Phone (774) 262-9972
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000003629 | MA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696982400000",
"number": "1114347945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "421 N MAIN ST # B5R119",
"city": "LEEDS",
"state": "MA",
"postal_code": "010539764",
"telephone_number": "774-262-9972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 N MAIN ST # B5R119",
"city": "LEEDS",
"state": "MA",
"postal_code": "010539764",
"telephone_number": "774-262-9972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "ALEXANDER",
"credential": "R.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-19",
"last_updated": "2023-10-11",
"certification_date": "2023-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "000003629",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leeds, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.