Gregory Paul Martin, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

137040 Issued in UT

Practice address

2618 W 7800 S
West Jordan, UT 84088-4208

Phone

(801) 566-1031

Fax

(801) 568-0504

NPI assigned

Jan 26, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Networks

• UT PPO D-SNP

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215083688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2618 W 7800 S",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840884208",
            "telephone_number": "801-566-1031",
            "fax_number": "801-568-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2618 W 7800 S",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840884208",
            "telephone_number": "801-566-1031",
            "fax_number": "801-568-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "GREGORY",
        "middle_name": "PAUL",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "137040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eduardo Marron
• Katie Anne Marsh
• Nathan J Marshall, MD
• Marshbuzz LLC
• Hailey Zoe Martell
• Lauryn Martin
• Josepheve Martindale, CMHC, BCBA
• Samantha Martinez Lugo
• Silvana Martinez Pizarro
• Joel Martinez

• General Practice Dentistry in West Jordan, UT
• Providers in West Jordan, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.