Active NPI
Adam Martin, DDS, MS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Eugene, OR
National Provider Identifier
1184780280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 5911333-8903
- Practice address
- 4122 Quest Dr
Eugene, OR 97402-8768 - Phone
- (541) 359-3261
- NPI assigned
- Dec 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | D11964 | OR | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 5911333-8903 | UT | Primary |
Addresses
Primary practice location
4122 Quest Dr
Eugene, OR 97402-8768
Mailing address
12233 S Wingfoot CT
Draper, UT 84020-8895
Phone (801) 390-2851
Other practice location 1
5895 Main St
Springfield, OR 97478-6961
Phone (541) 359-3261
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D11964 | OR | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| 5911333-8903 | UT | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oregon Family Orthodontics LLC | Orthodontics and Dentofacial Orthopedics | Current | Accepting new patients |
Locations
4122 Quest Dr
Eugene, OR 97402
Phone (541) 359-3261
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Eugene, OR
- NPI 1467900241
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731369600000",
"number": "1184780280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12233 S WINGFOOT CT",
"city": "DRAPER",
"state": "UT",
"postal_code": "840208895",
"telephone_number": "801-390-2851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4122 QUEST DR",
"city": "EUGENE",
"state": "OR",
"postal_code": "974028768",
"telephone_number": "541-359-3261"
}
],
"practiceLocations": [
{
"address_1": "5895 Main St",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "OR",
"postal_code": "974786961",
"country_code": "US",
"telephone_number": "541-359-3261",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTIN",
"first_name": "ADAM",
"name_prefix": "Dr.",
"credential": "DDS, MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-31",
"last_updated": "2024-11-12",
"certification_date": "2024-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "OR",
"license": "D11964",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "UT",
"license": "5911333-8903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.