Individual provider Active NPI

Dickson Martin-Staton

  • Driver
  • Saint Paul, MN
National Provider Identifier
1275486706
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
A891061616118 Issued in MN
Practice address
799 Reaney Ave
Saint Paul, MN 55106-4412
Phone
(651) 232-1700
NPI assigned
Feb 16, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X A891061616118 MN Primary

Addresses

Primary practice location

799 Reaney Ave
Saint Paul, MN 55106-4412

Mailing address

799 Reaney Ave
Saint Paul, MN 55106-4412

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A891061616118MNMDDriver

Practice roles

OrganizationSpecialtyStatusNew patients
Healtheast Care System Past Accepting new patients
Fairview Health Services 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.

NPI Registry JSON

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

{
    "created_epoch": "1771200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1275486706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "799 REANEY AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551064412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 REANEY AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551064412",
            "telephone_number": "651-232-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN-STATON",
        "first_name": "DICKSON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-02-16",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "MN",
            "license": "A891061616118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; 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.