Joseph Martin Echols Jr., D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9154 Issued in GA

Practice address

1414 Marks Church Rd
Augusta, GA 30909-2430

Phone

(706) 738-8919

Fax

(706) 592-5934

NPI assigned

Jan 23, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1194879361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 BRISTLECONE WAY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309094536",
            "telephone_number": "706-736-6254",
            "fax_number": "706-592-5934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 MARKS CHURCH RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309092430",
            "telephone_number": "706-738-8919",
            "fax_number": "706-592-5934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECHOLS",
        "first_name": "JOSEPH",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "9154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVESIS",
            "identifier": "100971",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL",
            "identifier": "9183202",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00200472A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00200472B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "649764",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsea R Eberhart
• Frank Andrew Eberheart, PA-C
• Matthew Daniel Eberly Sr., MD
• Sherri J. Ebetino, PTA
• Marian T Ebron, M.D.
• Steven R Echols, DMD
• Anthony Chase Eckler, DPT
• Sarah Sanders Eckley, P.A.
• Eddie Cheeks MDPC
• Eddie P Johnson III, DMD, PC

• General Practice Dentistry in Augusta, GA
• Providers in Augusta, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.