Latisha Shintrell Martin, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS040722 Issued in PA

Practice address

1210 Millersville Pike
Lancaster, PA 17603-6656

Phone

(717) 299-4300

NPI assigned

Dec 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Elite Dental LLC

  • General Practice Dentistry
  • Lancaster, PA
  • NPI 1467952903
  NPD (past)

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1295891513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 MILLERSVILLE PIKE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176036656",
            "telephone_number": "717-299-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 MILLERSVILLE PIKE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176036656",
            "telephone_number": "717-299-4300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 West Broaddus Avenue",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "VA",
            "postal_code": "22427",
            "country_code": "US",
            "telephone_number": "804-632-1030",
            "fax_number": "804-632-1033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "LATISHA",
        "middle_name": "SHINTRELL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401412769",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401412769",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS040722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill E Martin, CRNP
• Jodi L Martin, COTA/L
• Julie Irene Martin, LMT
• Kimberly Jo Martin, FNP-BC
• Kimberly N Martin, OT
• Leann M Martin, CRNP
• Lori E Martin, OT
• Robert J Martin, CRNP
• Robert W Martin, MD
• Shannon Martin

• General Practice Dentistry in Lancaster, PA
• Providers in Lancaster, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; 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.