NPIMap

Organization Active NPI

Nichole C. Martin, D.M.D., PLLC

  • Dentist
  • Lynnwood, WA
National Provider Identifier
1215269188
Registry record updated Feb 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE00010992 Issued in WA
Legal business name
NICHOLE C. MARTIN, D.M.D., PLLC
Practice address
6610 208TH St SW
Lynnwood, WA 98036-7456
Phone
(206) 228-7609
NPI assigned
Feb 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2010

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

Authorized official

Name
Dr. Nichole Christine Martin, D.M.DNPI 1538341029
Title
Dentist/Owner
Phone
(206) 228-7609

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 DE00010992 WA Primary

Addresses

Primary practice location

6610 208TH St SW
Lynnwood, WA 98036-7456

Mailing address

750 Crockett St Apt 403
Seattle, WA 98109-2411
Phone (206) 228-7609

National Provider Directory

National Provider Directory

Locations

6610 208th St SW
Lynnwood, WA 98036
Phone (206) 228-7609

Practitioners & affiliated clinicians

Practitioners 1

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": "1265155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265155200000",
    "number": "1215269188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 CROCKETT ST APT 403",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981092411",
            "telephone_number": "206-228-7609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6610 208TH ST SW",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980367456",
            "telephone_number": "206-228-7609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLE C. MARTIN, D.M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-03",
        "last_updated": "2010-02-03",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "206-228-7609",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00010992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; 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.