Raymond Wayne Martin, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

20646 Issued in CA

Practice address

777 Cuesta Dr
Mountain View, CA 94040-3771

Phone

(650) 967-2391

Fax

(650) 967-1468

NPI assigned

Sep 20, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 CA

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1134226244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 CUESTA DR",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940403771",
            "telephone_number": "650-967-2391",
            "fax_number": "650-967-1468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 CUESTA DR",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940403771",
            "telephone_number": "650-967-2391",
            "fax_number": "650-967-1468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "RAYMOND",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "20646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stuart Markovitz, MD
• Jake Nino Marotto
• Cassandra Lynn Marsden, DC
• Cassandra Martin, PA-C
• Jamila C. Martin, M.D.
• Daniela Elizabeth Martinez Angel
• Leticia Martinez Barajas
• Vanessa Martinez-Hernandez, RN
• April Resultay Martinez, MSN,APRN,FNP-BC
• Gloria Martinez

• Dentist in Mountain View, CA
• Providers in Mountain View, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.