Organization Active NPI

C H Martin Company

  • Prosthetic/Orthotic Supplier
  • Dublin, GA
National Provider Identifier
1154450252
Registry record updated Mar 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
C H MARTIN COMPANY
Practice address
220 Industrial Blvd
Suite D
Dublin, GA 31021-9057
Phone
(478) 275-9444
Fax
(478) 275-1089
NPI assigned
Mar 5, 2007
Organization subpart
Yes
Parent organization
C H MARTIN COMPANYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 9, 2017

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

Authorized official

Name
Ms. Doris Wilkes
Title
Authorized Official
Phone
(478) 224-1061

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

220 Industrial Blvd
Suite D
Dublin, GA 31021-9057

Mailing address

329 Marietta St NW
Atlanta, GA 30313-1600
Phone (404) 525-1533

Other identifiers 2

IdentifierTypeStateIssuer
00039476AMedicaidGA
00339476BMedicaidGA

National Provider Directory

National Provider Directory
Part of
C H Martin Company

Locations

220 Industrial Blvd
Ste D
Dublin, GA 31021
Phone (478) 275-9444

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489017600000",
    "number": "1154450252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 MARIETTA ST NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303131600",
            "telephone_number": "404-525-1533",
            "fax_number": "478-738-0521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 INDUSTRIAL BLVD",
            "address_2": "SUITE D",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310219057",
            "telephone_number": "478-275-9444",
            "fax_number": "478-275-1089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C H MARTIN COMPANY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "C H MARTIN COMPANY",
        "enumeration_date": "2007-03-05",
        "last_updated": "2017-03-09",
        "status": "A",
        "authorized_official_last_name": "WILKES",
        "authorized_official_first_name": "DORIS",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "478-224-1061",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00039476A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00339476B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.