NPIMap

Organization Active NPI

Martin Dentistry, PC

Doing business as Martin Dentistry of Johnson City

  • Dental Clinic/Center
  • Johnson City, TN
National Provider Identifier
1346895836
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MARTIN DENTISTRY, PC
Doing business as
Martin Dentistry of Johnson City
Practice address
135 Marketplace Dr Ste 101
Johnson City, TN 37604-8933
Phone
(423) 247-8172
NPI assigned
Aug 2, 2019
Last updated
May 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Authorized official

Name
Ms. Rebecca L Arnold, RDA
Title
Insurance Coordinator
Phone
(423) 247-8172

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

135 Marketplace Dr Ste 101
Johnson City, TN 37604-8933

Mailing address

1599 Fort Henry Dr Ste 102
Kingsport, TN 37664-2535
Phone (423) 247-8172

Other practice location 1

1599 Fort Henry Dr Ste 102
Kingsport, TN 37664-2535
Phone (423) 247-8172 ext. 1

Other names 1

  • Martin Dentistry of Johnson City Doing business as

National Provider Directory

National Provider Directory

Locations

1599 Fort Henry Dr
Ste 102
Kingsport, TN 37664
Phone 4232478172 ext. 1

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1564704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621987200000",
    "number": "1346895836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1599 FORT HENRY DR STE 102",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376642535",
            "telephone_number": "423-247-8172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 MARKETPLACE DR STE 101",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376048933",
            "telephone_number": "423-247-8172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1599 Fort Henry Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376642535",
            "country_code": "US",
            "telephone_number": "423-247-8172 x1",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARTIN DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-02",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "423-247-8172",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RDA"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Martin Dentistry of Johnson City",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Martin Dentistry of Johnson City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Johnson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; 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.