Organization Active NPI

Cornelius D. Martin, DMD, PLLC

Doing business as Sunny Skies Pediatric Dentistry

  • Pediatric Dentistry
  • Wilson, NC
National Provider Identifier
1306545033
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
CORNELIUS D. MARTIN, DMD, PLLC
Doing business as
Sunny Skies Pediatric Dentistry
Practice address
2605 Forest Hills Rd SW Ste B
Wilson, NC 27893-4448
Phone
(252) 512-4144
Fax
(252) 224-3555
NPI assigned
Mar 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2023

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

Authorized official

Name
Dr. Cornelius Devante Martin, DMD
Title
Dentist/Owner
Phone
(910) 382-1003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

2605 Forest Hills Rd SW Ste B
Wilson, NC 27893-4448

Mailing address

2605 Forest Hills Rd SW Ste B
Wilson, NC 27893-4448
Phone (252) 512-4144

Other names 1

  • Sunny Skies Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1677715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692316800000",
    "number": "1306545033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 FOREST HILLS RD SW STE B",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278934448",
            "telephone_number": "252-512-4144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 FOREST HILLS RD SW STE B",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278934448",
            "telephone_number": "252-512-4144",
            "fax_number": "252-224-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNELIUS D. MARTIN, DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-02",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "CORNELIUS",
        "authorized_official_middle_name": "DEVANTE",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "910-382-1003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunny Skies Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sunny Skies Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.