Kurt F. Martin, DDS, MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

7188 Issued in KS

Practice address

2901 Canterbury Dr
Hays, KS 67601-2152

Phone

(785) 628-1079

Fax

(785) 628-1090

NPI assigned

Jan 17, 2006

Last updated

Jan 2, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Feb 7, 2012 through Feb 7, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Canterbury Oral & Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Hays, KS
  • NPI 1033127485
  NPD (past)
• Potter Plastic & Reconstructive Surgery, PA

  • Plastic and Reconstructive Surgery Physician
  • Hays, KS
  • NPI 1215314380
  NPD (past)
• Southwest Oral & Maxillofacial Surgery LLC

  • Oral and Maxillofacial Surgery Clinic/Center
  • Garden City, KS
  • NPI 1548432628
  NPD (past)

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199232000000",
    "number": "1306825476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 CANTERBURY DR",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676012152",
            "telephone_number": "785-628-1079",
            "fax_number": "785-628-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 CANTERBURY DR",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676012152",
            "telephone_number": "785-628-1079",
            "fax_number": "785-628-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "KURT",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "DDS, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2008-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "KS",
            "license": "7188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Lynn Malone, APRN
• James Gordon Manning III, CRNA
• Patrick M Marecic, D.O.
• Timothy Steven Markus, PHYSICAL THERAPIST
• Tara S Marshall, SLP-CCC
• Rachelle Martinson
• Shelby Mattke
• Lindsey Ellen Maxwell
• Alyssa Mayfield
• Kevin R McDonald, MD

• Oral and Maxillofacial Surgery (Dentist) in Hays, KS
• Providers in Hays, KS by specialty
• Oral and Maxillofacial Surgery (Dentist) in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.