Patty Lynn Martin, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DE60291989 Issued in WA

Practice address

2014 S Howard St
Walla Walla, WA 99362-4532

Phone

(509) 525-5902

Fax

(509) 525-0832

NPI assigned

Jul 24, 2012

Sex

Female

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 WA

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": "1343088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343088000000",
    "number": "1134475445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 S HOWARD ST",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993624532",
            "telephone_number": "509-525-5902",
            "fax_number": "509-525-0832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 S HOWARD ST",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993624532",
            "telephone_number": "509-525-5902",
            "fax_number": "509-525-0832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "PATTY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-24",
        "last_updated": "2012-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60291989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Joan Marsh, ARNP
• Stephanie Ann Marsh, LSWAIC
• Cheryl Lynn Marshall, MSW
• Martin & Sharkey PLLC
• Brooke Martin
• Stephanie Martin
• Evelyn Martindale, ARNP
• Laura Martinez Hughes, LMHCA, AA, MHP
• Vernardino Martinez
• Gregory Joseph Martonick, M.D.

• Dentist in Walla Walla, WA
• Providers in Walla Walla, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; 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.