Matthew Joshua Martin, D.D.S., M.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

26049 Issued in TX

Practice address

106 N Cottonwood Dr
Suite B
Richardson, TX 75080-4736

Phone

(972) 783-8811

Fax

(972) 680-1024

NPI assigned

Aug 27, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300320000000",
    "number": "1225286677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 N COTTONWOOD DR",
            "address_2": "SUITE B",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750804736",
            "telephone_number": "972-783-8811",
            "fax_number": "972-680-1024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 N COTTONWOOD DR",
            "address_2": "SUITE B",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750804736",
            "telephone_number": "972-783-8811",
            "fax_number": "972-680-1024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MATTHEW",
        "middle_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-27",
        "last_updated": "2011-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30-022864",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "26049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danelle Martin
• Emily Caitlin Crilly Martin, LCSW
• Jordan Martin, RDN, LD
• Kathryn Farley Martin, RPH
• Madison Martin
• Rachael Danielle Martin
• Victoria B Martin, M.D.
• William Martin, LPC
• Maria Del Pilar Martinez Santos, MD
• Candice Jane Martinez, PA-C

• Endodontics in Richardson, TX
• Providers in Richardson, TX by specialty
• Endodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.