Janel Kalar Martin, DDS
Individual provider Active NPI Dentist · Glenville, WV
NPI 1265955017 · NPPES record last updated Aug 28, 2023
Key facts
- NPI
- 1265955017
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 4268 (WV)
- Practice address
- 809 Mineral Rd
Glenville, WV 26351-1385 - Phone
- (304) 462-7343
- NPI assigned
- Jul 24, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170828000321 | WV | Order and Referring Only - Dentist |
7113299033 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4268 | WV | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glenville Family Dentistry PLLC | General Practice | Current | Accepting new patients |
Locations
809 Mineral Rd
Glenville, WV 26351
Phone (304) 462-5708
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4268 | WV | |
| Dentist | 122300000X | 4268 | WV | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841271459 | Other | WV | WV CHIP |
| 1841271459 | Medicaid | WV |
Other names
- Janel Nicole Kalar
Other providers in Glenville, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.