Active NPI
John Quinn Martino, D.D.S.
- General Practice Dentistry
- Pawleys Island, SC
National Provider Identifier
1235580937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9695
- Practice address
- 10030 Ocean Hwy
Pawleys Island, SC 29585-7805 - Phone
- (843) 237-8433
- Fax
- (843) 237-1073
- NPI assigned
- Jun 24, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4227 | WV | |
| General Practice Dentistry | 1223G0001X | 10188 | KY | |
| General Practice Dentistry | 1223G0001X | 9695 | SC | Primary |
Addresses
Primary practice location
10030 Ocean Hwy
Pawleys Island, SC 29585-7805
Mailing address
PO Box 2369
Anniston, AL 36202-2369
Phone (256) 741-7340
Other practice location 1
2500 W Broadway Ste 100
Louisville, KY 40211-1184
Phone (502) 776-1754
Other practice location 2
2000 Industrial Rd E Ste 200
Bridgeport, WV 26330-1297
Phone (304) 933-5300
Other practice location 3
1175 S Main St Ste 4
Madisonville, KY 42431-3337
Phone (270) 383-5511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4227 | WV | MD | Dentist |
| 9695 | SC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care of Kentucky, Inc | General Practice | Past | Accepting new patients |
| Dr. Robert Martino, PLLC | Dentist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Madisonville, KY
- NPI 1053799080
General Practice
-
- Dentist
- Nutter Fort, WV
- NPI 1982067153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643155200000",
"number": "1235580937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2369",
"city": "ANNISTON",
"state": "AL",
"postal_code": "362022369",
"telephone_number": "256-741-7340",
"fax_number": "256-741-7373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10030 OCEAN HWY",
"city": "PAWLEYS ISLAND",
"state": "SC",
"postal_code": "295857805",
"telephone_number": "843-237-8433",
"fax_number": "843-237-1073"
}
],
"practiceLocations": [
{
"address_1": "2500 W Broadway Ste 100",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402111184",
"country_code": "US",
"telephone_number": "502-776-1754",
"fax_number": "502-778-2301",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2000 Industrial Rd E Ste 200",
"address_purpose": "LOCATION",
"city": "Bridgeport",
"state": "WV",
"postal_code": "263301297",
"country_code": "US",
"telephone_number": "304-933-5300",
"fax_number": "304-933-3633",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1175 S Main St Ste 4",
"address_purpose": "LOCATION",
"city": "Madisonville",
"state": "KY",
"postal_code": "424313337",
"country_code": "US",
"telephone_number": "270-383-5511",
"fax_number": "270-821-9602",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTINO",
"first_name": "JOHN",
"middle_name": "QUINN",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-24",
"last_updated": "2022-01-26",
"certification_date": "2022-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WV",
"license": "4227",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KY",
"license": "10188",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "9695",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pawleys Island, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.