David John Martin
Individual provider Active NPI Homemaker · Fargo, ND
NPI 1154912459 · NPPES record last updated Jan 29, 2021
Key facts
- NPI
- 1154912459
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Homemaker 376J00000X
- Practice address
- 3331 15TH Ave S
Fargo, ND 58103-4565 - Phone
- (701) 429-8201
- NPI assigned
- Jan 29, 2021
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | Yes |
Addresses
Primary practice location
3331 15TH Ave S
Fargo, ND 58103-4565
Mailing address
984 51St Ave W
West Fargo, ND 58078-8367
Phone (701) 261-8054
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.