Organization Active NPI

Martin Nelson Endodontic Group

  • Endodontics
  • Pflugerville, TX
National Provider Identifier
1144731753
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
27918 Issued in TX
Legal business name
MARTIN NELSON ENDODONTIC GROUP
Practice address
2911 A W Grimes Blvd Ste 103
Pflugerville, TX 78660-5459
Phone
(512) 275-4222
Fax
(512) 367-5865
NPI assigned
Oct 23, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
David Martin, D.D.S.NPI 1437469483
Title
Doctor
Phone
(512) 275-4222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 27918 TX Primary

Addresses

Primary practice location

2911 A W Grimes Blvd Ste 103
Pflugerville, TX 78660-5459

Mailing address

2911 A W Grimes Blvd Ste 103
Pflugerville, TX 78660-5459
Phone (512) 275-4222

Other practice location 1

2301 Bagdad Rd Ste 201
Cedar Park, TX 78613-6501
Phone (512) 275-4222

Other practice location 2

1801 N Austin Ave # 101
Georgetown, TX 78626-4623
Phone (512) 275-4222

Other practice location 3

209 Denali Pass Ste A
Cedar Park, TX 78613-7500
Phone (512) 275-4222

National Provider Directory

National Provider Directory

Locations

209 Denali Pass
Ste A
Cedar Park, TX 78613
Phone (512) 275-4222

2301 Bagdad Rd
Ste 201
Cedar Park, TX 78613
Phone (512) 275-4222

1801 N Austin Ave
#101
Georgetown, TX 78626
Phone (512) 275-4222

2911 A W Grimes Blvd
Ste 103
Pflugerville, TX 78660
Phone (512) 275-4222

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1144731753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 A W GRIMES BLVD STE 103",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786605459",
            "telephone_number": "512-275-4222",
            "fax_number": "512-367-5865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 A W GRIMES BLVD STE 103",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786605459",
            "telephone_number": "512-275-4222",
            "fax_number": "512-367-5865"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2301 Bagdad Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Cedar Park",
            "state": "TX",
            "postal_code": "786136501",
            "country_code": "US",
            "telephone_number": "512-275-4222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1801 N Austin Ave # 101",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "TX",
            "postal_code": "786264623",
            "country_code": "US",
            "telephone_number": "512-275-4222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "209 Denali Pass Ste A",
            "address_purpose": "LOCATION",
            "city": "Cedar Park",
            "state": "TX",
            "postal_code": "786137500",
            "country_code": "US",
            "telephone_number": "512-275-4222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARTIN NELSON ENDODONTIC GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-23",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "512-275-4222",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "27918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pflugerville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.