Gerald T. Martin, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

1880 Issued in TN

Legal business name

GERALD T. MARTIN, D.D.S.

Practice address

2012 N Main St
Shelbyville, TN 37160-2022

Phone

(931) 684-6351

NPI assigned

Jul 12, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Gerald T Martin, D.D.S.NPI 1881685725

Title

Dentist

Phone

(931) 684-6351

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gerald Thomas Martin, D.D.S.

  • General Practice Dentistry
  • Shelbyville, TN
  • NPI 1881685725
  NPD (past) Authorized official

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

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310428800000",
    "number": "1336437334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 N MAIN ST",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371602022",
            "telephone_number": "931-684-6351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 N MAIN ST",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371602022",
            "telephone_number": "931-684-6351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD T. MARTIN, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-12",
        "last_updated": "2011-07-12",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "931-684-6351",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TN",
            "license": "1880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1881685725",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Ann Fung-a-Fat, PHARM.D.
• Mistdena Gardner, RN
• Mallory Garner, M.S.W.
• Laura Gayle Gartside
• Genesis Medical Clinic LLC
• Geriatric Psychology Affiliates LLC
• Geriatric Psychology Affiliates LLC
• Jordi Wessam Sabry Ghitany
• Lawanda Denise Gibbs, LMSW
• Amanda Elizabeth Gillespie

• Dentist in Shelbyville, TN
• Providers in Shelbyville, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; 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.