Brent J Martin DDS Ms SC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

2529 Issued in WI

Legal business name

BRENT J MARTIN DDS MS SC

Practice address

1345 W Towne Square Rd
Mequon, WI 53092-5047

Phone

(262) 241-3019

Fax

(262) 241-3027

NPI assigned

Dec 15, 2006

Last updated

Apr 24, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brent J Martin, DDS MS SC

Title

Endodontist Oral and Maxillofacial

Phone

(262) 241-3019

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335225600000",
    "number": "1306908371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 W TOWNE SQUARE RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530925047",
            "telephone_number": "262-241-3019",
            "fax_number": "262-241-3027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 W TOWNE SQUARE RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530925047",
            "telephone_number": "262-241-3019",
            "fax_number": "262-241-3027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENT J MARTIN DDS MS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2012-04-24",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ENDODONTIST ORAL AND MAXILLOFACIAL",
        "authorized_official_telephone_number": "262-241-3019",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS SC"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "WI",
            "license": "2529",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WI",
            "license": "2529",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Branovan
• Michael Braun, M.D.
• Nina Sebastian Bredehorn, MSN, APNP, CPNP, PMH
• Donna J Brehm, M.D.
• Marcie Brenner, PT
• Brett Egelseer (Advanced Spine Center)
• Brewer Counseling and Wellness
• Cameron Craig Brewer, PH.D.
• Brian M. Fidlin Psychological Services
• Jodi Allison Brin, PSY.D.

• Endodontics in Mequon, WI
• Providers in Mequon, WI by specialty
• Endodontics in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.