Organization Active NPI

Dr Brent Martin DMD PLLC

Doing business as River Rock Dental

  • General Practice Dentistry
  • Zillah, WA
National Provider Identifier
1194539577
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DR BRENT MARTIN DMD PLLC
Doing business as
River Rock Dental
Practice address
812 Zillah West Rd
Zillah, WA 98953-9542
Phone
(509) 314-6600
Fax
(844) 314-6603
NPI assigned
Feb 5, 2025
Last updated
Feb 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Authorized official

Name
Brent Martin, DMDNPI 1447412580
Title
Owner/Dentist
Phone
(509) 314-6600

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X
Dentist 122300000X
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

812 Zillah West Rd
Zillah, WA 98953-9542

Mailing address

812 Zillah West Rd
Zillah, WA 98953-9542
Phone (509) 314-6600

Other names 1

  • River Rock Dental Doing business as

National Provider Directory

National Provider Directory

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": "1738713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1194539577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 ZILLAH WEST RD",
            "city": "ZILLAH",
            "state": "WA",
            "postal_code": "989539542",
            "telephone_number": "509-314-6600",
            "fax_number": "844-314-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 ZILLAH WEST RD",
            "city": "ZILLAH",
            "state": "WA",
            "postal_code": "989539542",
            "telephone_number": "509-314-6600",
            "fax_number": "844-314-6603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR BRENT MARTIN DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-05",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "509-314-6600",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River Rock Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Zillah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.