Elaine Masucci Martin, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DEN 5181 Issued in DC

Practice address

4347 Nebraska Ave NW
Washington, DC 20016-2131

Phone

(202) 966-1900

Fax

(202) 966-4078

NPI assigned

Sep 28, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1348790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348790400000",
    "number": "1306197413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4347 NEBRASKA AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200162131",
            "telephone_number": "202-966-1900",
            "fax_number": "202-966-4078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4347 NEBRASKA AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200162131",
            "telephone_number": "202-966-1900",
            "fax_number": "202-966-4078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ELAINE",
        "middle_name": "MASUCCI",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-28",
        "last_updated": "2012-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DC",
            "license": "DEN 5181",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "10167",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Martin Jr.
• Donna M Martin, PTA
• Dorothy Martin
• Drew Quinones Martin, DO
• Eileen Martin, PA-C
• Gerard R, Martin, MD
• Gloria Devine Martin
• Hasan Martin
• Helena Mimi Martin, PH.D.
• Jacquise C Martin

• Dentist in Washington, DC
• Providers in Washington, DC by specialty
• Dentist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; 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.