Organization Active NPI

Todd Martin, DDS

  • Dentist
  • Brookfield, IL
National Provider Identifier
1164546222
Registry record updated Mar 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
TODD MARTIN, DDS
Practice address
9435 Ogden Ave
Brookfield, IL 60513-1849
Phone
(708) 486-0016
NPI assigned
Mar 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2008

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

Authorized official

Name
Todd MartinNPI 1669574513
Title
Owner
Phone
(708) 485-0016

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X IL Primary

Addresses

Primary practice location

9435 Ogden Ave
Brookfield, IL 60513-1849

Mailing address

9435 Ogden Ave
Brookfield, IL 60513-1849
Phone (708) 486-0016

National Provider Directory

National Provider Directory

Locations

9435 Ogden Ave
Brookfield, IL 60513
Phone (312) 731-8232

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204848000000",
    "number": "1164546222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9435 OGDEN AVE",
            "city": "BROOKFIELD",
            "state": "IL",
            "postal_code": "605131849",
            "telephone_number": "708-486-0016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9435 OGDEN AVE",
            "city": "BROOKFIELD",
            "state": "IL",
            "postal_code": "605131849",
            "telephone_number": "708-486-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD MARTIN, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2008-03-07",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-485-0016"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; 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.