NPIMap

Organization Active NPI

Titusville Dental Arts, P.C.

  • General Practice Dentistry
  • Titusville, PA
National Provider Identifier
1346309200
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TITUSVILLE DENTAL ARTS, P.C.
Practice address
202 Union St
RM 3
Titusville, PA 16354-1166
Phone
(814) 827-6714
Fax
(814) 827-2706
NPI assigned
Dec 7, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Wayne A Martin, DDS
Title
President
Phone
(814) 827-6714

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

202 Union St
RM 3
Titusville, PA 16354-1166

Mailing address

PO Box 311
Titusville, PA 16354-0311
Phone (814) 827-6714

National Provider Directory

National Provider Directory

Locations

202 Union St
Rm 3
Titusville, PA 16354
Phone (814) 827-6714

NPI Registry JSON

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346309200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 311",
            "city": "TITUSVILLE",
            "state": "PA",
            "postal_code": "163540311",
            "telephone_number": "814-827-6714",
            "fax_number": "814-827-2706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 UNION ST",
            "address_2": "RM 3",
            "city": "TITUSVILLE",
            "state": "PA",
            "postal_code": "163541166",
            "telephone_number": "814-827-6714",
            "fax_number": "814-827-2706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TITUSVILLE DENTAL ARTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-827-6714",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Titusville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.