NPIMap

Organization Active NPI

Goodin & Martens, DDS, PC

  • Dentist
  • Springfield, MO
National Provider Identifier
1265689673
Registry record updated Aug 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
015922 Issued in MO
Legal business name
GOODIN & MARTENS, DDS, PC
Practice address
3850 South National Ave,
Hulston Cancer Center Suite 720
Springfield, MO 65807
Phone
(417) 869-6487
Fax
(417) 269-7549
NPI assigned
Aug 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2008

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

Authorized official

Name
Dr. Richard T Martens, D.M.D.NPI 1063551323
Title
Dentist/President
Phone
(417) 869-6487

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 015922 MO Primary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 011444 MO

Addresses

Primary practice location

3850 South National Ave,
Hulston Cancer Center Suite 720
Springfield, MO 65807

Mailing address

3850 South National Ave,
Hulston Cancer Center Suite 720
Springfield, MO 65807
Phone (417) 869-6487

National Provider Directory

National Provider Directory

Locations

3850 S National Ave
Ste 720
Springfield, MO 65807
Phone (417) 269-7525

Practitioners & affiliated clinicians

Practitioners 2

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": "1219795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219795200000",
    "number": "1265689673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 SOUTH NATIONAL AVE,",
            "address_2": "HULSTON CANCER CENTER SUITE 720",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "65807",
            "telephone_number": "417-869-6487",
            "fax_number": "417-269-7549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 SOUTH NATIONAL AVE,",
            "address_2": "HULSTON CANCER CENTER SUITE 720",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "65807",
            "telephone_number": "417-869-6487",
            "fax_number": "417-269-7549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODIN & MARTENS, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-27",
        "last_updated": "2008-08-27",
        "status": "A",
        "authorized_official_last_name": "MARTENS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "417-869-6487",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MO",
            "license": "015922",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MO",
            "license": "011444",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.