Sandra Martin, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6588 Issued in NC

Legal business name

SANDRA MARTIN, D.M.D.

Practice address

14460 New Falls of Neuse Ste 151
Raleigh, NC 27614-8227

Phone

(919) 488-3384

Fax

(919) 488-3385

NPI assigned

Feb 25, 2008

Organization subpart

No

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

Authorized official

Name

Laura Lejeal

Title

Office Manager

Phone

(919) 488-3384

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sandra Elizabeth Martin, DMD PA

  • General Practice Dentistry
  • Wake Forest, NC
  • NPI 1568528297
  NPD (past)

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1265601249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14460 NEW FALLS OF NEUSE STE 151",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276148227",
            "telephone_number": "919-488-3384",
            "fax_number": "919-488-3385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14460 NEW FALLS OF NEUSE STE 151",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276148227",
            "telephone_number": "919-488-3384",
            "fax_number": "919-488-3385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA MARTIN, D.M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "LEJEAL",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "919-488-3384"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "799002G",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracey Sandnes, PTA
• Hilda Adriana Sandoval Veliz, RN
• Destny Anastasia Sandoval
• Erick Joel Sandoval, NP
• Sandra M. Story, Psy.D., P.C.
• John Arnold Sandru, CRNA
• Sandy J. Kimmel, D.O., P.a.
• Elaine Sanford-Sawyer, LCSW; LICDC
• Julian Wayne Sanford, CRNA
• Lisa Ann Sanford, MSN FNP

• General Practice Dentistry in Raleigh, NC
• Providers in Raleigh, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; 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.