Organization Active NPI

Katayoon Martin DMD PLLC

  • Pediatric Dentistry
  • Wexford, PA
National Provider Identifier
1144040296
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
KATAYOON MARTIN DMD PLLC
Practice address
110 Vip Dr Ste 201
Wexford, PA 15090-6923
Phone
(724) 772-9688
NPI assigned
Oct 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Authorized official

Name
Samantha Mounce
Title
Office Manager
Phone
(724) 954-1613

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

110 Vip Dr Ste 201
Wexford, PA 15090-6923

Mailing address

110 Vip Dr Ste 201
Wexford, PA 15090-6923
Phone (724) 772-9688

National Provider Directory

National Provider Directory

Locations

110 Vip Dr
Ste 201
Wexford, PA 15090
Phone (724) 772-9688

NPI Registry JSON

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

{
    "created_epoch": "1728864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1144040296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 VIP DR STE 201",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150906923",
            "telephone_number": "724-772-9688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 VIP DR STE 201",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150906923",
            "telephone_number": "724-772-9688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATAYOON MARTIN DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-14",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "MOUNCE",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "724-954-1613"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.