Organization Active NPI

Coulter and Martinez Dentistry LLC

  • General Practice Dentistry
  • Crawfordsville, IN
National Provider Identifier
1164329439
Registry record updated Oct 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
COULTER AND MARTINEZ DENTISTRY LLC
Practice address
1717 E Main St
Crawfordsville, IN 47933-3146
Phone
(765) 362-5341
NPI assigned
Oct 21, 2026
Last updated
Oct 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2026

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

Authorized official

Name
Mr. Corey D Martinez, DDS
Title
Owner
Phone
(317) 671-5066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

1717 E Main St
Crawfordsville, IN 47933-3146

Mailing address

110 Summers Dr
Tipton, IN 46072-8696
Phone (765) 617-4750

National Provider Directory

National Provider Directory

Locations

1717 E Main St
Crawfordsville, IN 47933
Phone (765) 362-5341

Practitioners & affiliated clinicians

Practitioners 2

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": "1792540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792540800000",
    "number": "1164329439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 SUMMERS DR",
            "city": "TIPTON",
            "state": "IN",
            "postal_code": "460728696",
            "telephone_number": "765-617-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 E MAIN ST",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479333146",
            "telephone_number": "765-362-5341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COULTER AND MARTINEZ DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-21",
        "last_updated": "2026-10-21",
        "certification_date": "2026-10-21",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "COREY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-671-5066",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crawfordsville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2026; 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.