Vanessa Marie Martin, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

17059 Issued in MD

Practice address

1507 Govenrnor Ritchie Hwy Ste 201
Arnold, MD 21012-2744

Phone

(410) 757-5437

NPI assigned

Aug 8, 2019

Last updated

Jul 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Vanessa Marie Moore Former name

Medicare fee-for-service enrollment

Enrolled in MD

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

• Children's Choice Pediatric Dentistry

  • Pediatric Dentistry
  • New Carrollton, MD
  • NPI 1508279340
  NPD (past)
• Children's Choice Pediatric Dentistry

  • Pediatric Dentistry
  • New Carrollton, MD
  • NPI 1932626801
  NPD (past)
• Tull and Behling, LLC

  • Dentist
  • Arnold, MD
  • NPI 1568708634
  NPD (past)

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1336794155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 GOVERNOR RITCHIE HIGHWAY",
            "address_2": "#201",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "21012",
            "telephone_number": "410-757-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 GOVENRNOR RITCHIE HWY STE 201",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210122744",
            "telephone_number": "410-757-5437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8500 Annapolis Rd Ste 213",
            "address_purpose": "LOCATION",
            "city": "New Carrollton",
            "state": "MD",
            "postal_code": "207843022",
            "country_code": "US",
            "telephone_number": "301-731-8510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "VANESSA",
        "middle_name": "MARIE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-08",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MD",
            "license": "17059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "MOORE",
            "middle_name": "MARIE",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Loving Home Healthcare Services
• Luminis Health Medical Group, LLC (Arnold Family Medicine)
• Katherine Maas
• Magothy Therapy & Wellness LLC
• Pagie Mallin, LMSW
• Gail Martinez Waters, LCPC
• Cassidy Martz
• Maryland CVS Pharmacy LLC (CVS Pharmacy # 03043)
• Maryland Elder Care LLC
• Maryland Primary Care Physicians, LLC

• Pediatric Dentistry in Arnold, MD
• Providers in Arnold, MD by specialty
• Pediatric Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.