Individual provider Active NPI

Meriana S Martin, DMD

  • Periodontics
  • Beaufort, SC
National Provider Identifier
1144462698
Registry record updated Mar 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
4429 Issued in SC
Practice address
1002 Bay St
Beaufort, SC 29902-5570
Phone
(843) 525-6264
Fax
(843) 522-8967
NPI assigned
Mar 30, 2009
Last updated
Mar 30, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 4429 SC Primary

Addresses

Primary practice location

1002 Bay St
Beaufort, SC 29902-5570

Mailing address

1002 Bay St
Beaufort, SC 29902-5570
Phone (843) 525-6264

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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

Enrollment IDStateProvider typePAC IDDetails
I20240926004518 SC Order and Referring Only - DentistPractitioner - Dentist 3870024193

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4429SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lowcountry Dental Implant & Periodontics Center,LLC Periodontics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: meriana.martin@lrmc.directbygreenway.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238371200000",
    "number": "1144462698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 BAY ST",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025570",
            "telephone_number": "843-525-6264",
            "fax_number": "843-522-8967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 BAY ST",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025570",
            "telephone_number": "843-525-6264",
            "fax_number": "843-522-8967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MERIANA",
        "middle_name": "S",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-30",
        "last_updated": "2009-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "SC",
            "license": "4429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaufort, SC

Sources for this page

Verify at the official NPI Registry.