Megan D Martino, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS036889 Issued in PA

Practice address

15 Fruehan Drive
Route 590
Hamlin, PA 18427

Phone

(570) 689-7784

Fax

(570) 689-7957

NPI assigned

Jul 24, 2007

Last updated

Jun 1, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433116800000",
    "number": "1124228390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 58",
            "city": "HAMLIN",
            "state": "PA",
            "postal_code": "18427",
            "telephone_number": "570-689-7784",
            "fax_number": "570-689-7957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 FRUEHAN DRIVE",
            "address_2": "ROUTE 590",
            "city": "HAMLIN",
            "state": "PA",
            "postal_code": "18427",
            "telephone_number": "570-689-7784",
            "fax_number": "570-689-7957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINO",
        "first_name": "MEGAN",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-24",
        "last_updated": "2015-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS036889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hamlin Chiropractic Center PC
• Hamlin Dental Center, Inc.
• Hamlin Fire and Rescue Company
• Craig Joseph Hendricks, PHARMD
• Gary Anthony Kopesky, D.M.D.
• Mark Murnin, D.O.
• Optical Nei Inc
• Danielle Andre Pacyna, DPT
• Jeffrey Paone, MSPT
• Michael J Ratchford, D.M.D

• General Practice Dentistry in Hamlin, PA
• Providers in Hamlin, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.