Anthony Charles Martin, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2590 Issued in SC

Practice address

111 O'Brian Way
Irmo, SC 29063-8776

Phone

(803) 749-6072

NPI assigned

Aug 22, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Anthony C. Martin DMD LLC

  • Dental Clinic/Center
  • Irmo, SC
  • NPI 1841698149
  NPD (past) Authorized official
• Family Dental Health Group LLC

  • General Practice Dentistry
  • Irmo, SC
  • NPI 1881498053
  NPD (past)

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326154170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 195",
            "city": "BALLENTINE",
            "state": "SC",
            "postal_code": "290020195",
            "telephone_number": "803-749-6072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 O'BRIAN WAY",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290638776",
            "telephone_number": "803-749-6072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ANTHONY",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "2590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LISENCE",
            "identifier": "2590",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZX2590",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Malloy
• Nancy Marie Mandish, DDS
• Jessica Mann
• Mark G. Pelletier, DDS, PA
• Genesis Marroquin, LPCA
• Taeveon Jakain Mason, CPT
• Lois Marie Mather, R.N.
• Jennifer Leigh Matthews, APRN
• Max Living Chiropractic Northwest, LLC
• Jacquelyn Marie Maxwell

• General Practice Dentistry in Irmo, SC
• Providers in Irmo, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.