Individual provider Active NPI

Janel Kalar Martin, DDS

  • Dentist
  • Glenville, WV
National Provider Identifier
1265955017
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4268 Issued in WV
Practice address
809 Mineral Rd
Glenville, WV 26351-1385
Phone
(304) 462-7343
NPI assigned
Jul 24, 2017
Last updated
Aug 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4268 WV
Dentist 122300000X 4268 WV Primary

Addresses

Primary practice location

809 Mineral Rd
Glenville, WV 26351-1385

Mailing address

809 Mineral Rd
Glenville, WV 26351-1385
Phone (304) 685-8464

Other names 1

  • Janel Nicole Kalar Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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

Enrollment IDStateProvider typePAC IDDetails
I20170828000321 WV Order and Referring Only - DentistPractitioner - Dentist 7113299033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4268WVMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Glenville Family Dentistry PLLC General Practice Current Accepting new patients

Locations

809 Mineral Rd
Glenville, WV 26351
Phone (304) 462-5708

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1265955017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 MINERAL RD",
            "city": "GLENVILLE",
            "state": "WV",
            "postal_code": "263511385",
            "telephone_number": "304-685-8464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 MINERAL RD",
            "city": "GLENVILLE",
            "state": "WV",
            "postal_code": "263511385",
            "telephone_number": "304-462-7343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JANEL",
        "middle_name": "KALAR",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-24",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "4268",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WV",
            "license": "4268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANEL",
            "last_name": "KALAR",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glenville, WV

Sources for this page

Verify at the official NPI Registry.