David L. Martin, M.D., Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

01020486 Issued in IN

Legal business name

DAVID L. MARTIN, M.D., INC

Practice address

2101 Jackson St Ste 201
Anderson, IN 46016-4387

Phone

(765) 649-0161

Fax

(765) 644-4995

NPI assigned

Nov 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. David Lee Martin, M.D.

Title

President

Phone

(765) 649-0161

Specialties & licenses 1

Addresses

Other names 1

• DAVID L. MARTIN M.D., INC Doing business as

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15591/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1154500494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 JACKSON ST STE 201",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460164387",
            "telephone_number": "765-649-0161",
            "fax_number": "765-644-4995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 JACKSON ST STE 201",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460164387",
            "telephone_number": "765-649-0161",
            "fax_number": "765-644-4995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID L. MARTIN, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "765-649-0161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "IN",
            "license": "01020486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DAVID L. MARTIN M.D., INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caryn Davenport
• Keriann Davenport, M.A., BCBA
• Larry C Davenport, LMHC
• Rachel Marie Davenport, M.D.
• David C. Gephardt D.D.S.,P.C.
• Blanca R David, MD
• Jill E Davidson, LCSW
• Daviess County Hospital
• Adam M Davis, DO
• Alexis Neal Nicole Davis, RBT

• Dermatology Physician in Anderson, IN
• Providers in Anderson, IN by specialty
• Dermatology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; 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.