Mark Austin Martin, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7444 Issued in OK

Practice address

1601 Airport Dr
Shawnee, OK 74804-4302

Phone

(405) 273-1020

NPI assigned

May 26, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cornerstone Dental PLLC

  • Dentist
  • Shawnee, OK
  • NPI 1467612937
  NPD (past)
• Mickey Sehorn D.D.S., P.C.

  • Dentist
  • Shawnee, OK
  • NPI 1821210444
  NPD (past)

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

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1124693627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 AIRPORT DR",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748044302",
            "telephone_number": "918-413-9868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 AIRPORT DR",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748044302",
            "telephone_number": "405-273-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MARK",
        "middle_name": "AUSTIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-26",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "7444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juanita Pearl Marshall, LPC CANDIDATE
• Candida Martin, MS
• Carlynn Martin
• Kelly Martin
• Kelly Martin, PHARM.D.
• Alicia Martinez-Cruz
• Alejandra Martinez
• Sarah Martinez
• Mashek Health Services, LLC
• Lara Del Mashek, M.D

• General Practice Dentistry in Shawnee, OK
• Providers in Shawnee, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; 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.