Active NPI
Richard Terrence Martin, M.D.
- Family Medicine Physician
- Allentown, PA
National Provider Identifier
1285698266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD072096L
- Practice address
- 450 W Chew St
Suite 101
Allentown, PA 18102-3434 - Phone
- (610) 776-4888
- Fax
- (610) 776-4895
- NPI assigned
- Apr 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD072096L | PA | Primary |
Addresses
Primary practice location
450 W Chew St
Suite 101
Allentown, PA 18102-3434
Mailing address
450 W Chew St
Ste 101
Allentown, PA 18102-3434
Phone (610) 776-4888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1825741 | Medicaid | PA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429142400000",
"number": "1285698266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 W CHEW ST",
"address_2": "STE 101",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181023434",
"telephone_number": "610-776-4888",
"fax_number": "610-776-4895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 W CHEW ST",
"address_2": "SUITE 101",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181023434",
"telephone_number": "610-776-4888",
"fax_number": "610-776-4895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "RICHARD",
"middle_name": "TERRENCE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-14",
"last_updated": "2015-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD072096L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1825741",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.