NPIMap

Organization Active NPI

Martin Dentistry PC

  • General Practice Dentistry
  • Kingsport, TN
National Provider Identifier
1285870931
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MARTIN DENTISTRY PC
Practice address
1599 Fort Henry Dr
Suite 102
Kingsport, TN 37664-2535
Phone
(423) 247-8172
Fax
(423) 392-8253
NPI assigned
Dec 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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

Authorized official

Name
Rebecca Arnold
Title
Revenue Manager
Phone
(423) 247-8172

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1599 Fort Henry Dr
Suite 102
Kingsport, TN 37664-2535

Mailing address

1599 Fort Henry Dr
Suite 102
Kingsport, TN 37664-2535
Phone (423) 247-8172

Other practice location 1

135 Marketplace Dr Ste 101
Johnson City, TN 37604-8933
Phone (423) 239-6594 ext. 3

Other practice location 2

4260 Fort Henry Dr Ste 13
Kingsport, TN 37663-2248
Phone (423) 434-2421 ext. 2

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1230681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626912000000",
    "number": "1285870931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1599 FORT HENRY DR",
            "address_2": "SUITE 102",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376642535",
            "telephone_number": "423-247-8172",
            "fax_number": "423-392-8253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1599 FORT HENRY DR",
            "address_2": "SUITE 102",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376642535",
            "telephone_number": "423-247-8172",
            "fax_number": "423-392-8253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 Marketplace Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376048933",
            "country_code": "US",
            "telephone_number": "423-239-6594 x3",
            "fax_number": "423-434-2019",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4260 Fort Henry Dr Ste 13",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376632248",
            "country_code": "US",
            "telephone_number": "423-434-2421 x2",
            "fax_number": "423-239-6165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARTIN DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-31",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "REVENUE MANAGER",
        "authorized_official_telephone_number": "423-247-8172"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; 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.