Walter Martin, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

9670 Issued in NC

Practice address

2225 E W T Harris Blvd Ste 100
Charlotte, NC 28213-5384

Phone

(704) 494-4050

NPI assigned

Jul 5, 2012

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Walter Gentry Martin DDS PLLC

  • General Practice Dentistry
  • Charlotte, NC
  • NPI 1861009961
  NPD Authorized official
• Armstrong & Eshleman, PA

  • General Practice Dentistry
  • Charlotte, NC
  • NPI 1083741565
  NPD (past)

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1144585290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7903 WILBY HOLLOW DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282701824",
            "telephone_number": "336-407-7224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 E W T HARRIS BLVD STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282135384",
            "telephone_number": "704-494-4050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Providence Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282071417",
            "country_code": "US",
            "telephone_number": "704-376-6470",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "428 N Trade St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Matthews",
            "state": "NC",
            "postal_code": "281051729",
            "country_code": "US",
            "telephone_number": "704-278-8008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "WALTER",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-05",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "9670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tarita Davis Martin
• Taylor Gabrielle Martin
• Terri Regina Martin, MD
• Tessa Martin, LCMHCA
• Timothy Walter Martin
• Leonard Peter Martineau, PHD
• Meredith Martineau, M.S., CCC-SLP
• Natalie Claire Martinez-Rogers, DMD
• Cadey Martinez
• Cara Bosco Martinez, P.A.

• Dentist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.