Individual provider Active NPI

Meghan Marie Martin, DMD

  • General Practice Dentistry
  • Drexel Hill, PA
National Provider Identifier
1346914462
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS043306 Issued in PA
Practice address
1021 Pontiac Rd
Drexel Hill, PA 19026-4816
Phone
(610) 449-2001
Fax
(610) 853-6460
NPI assigned
Aug 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS043306 PA
General Practice Dentistry 1223G0001X DS043306 PA Primary

Addresses

Primary practice location

1021 Pontiac Rd
Drexel Hill, PA 19026-4816

Mailing address

1200 Villanova Ave
Folsom, PA 19033-1031
Phone (215) 796-5424

Other practice location 1

900 W Baltimore Pike Ste 100
West Grove, PA 19390-9313
Phone (610) 345-0700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DS043306PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Jennersville Family Dentistry General Practice Past Accepting new patients
Drexel Hill Dental General Practice PastSince Aug 8, 2021 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1346914462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 VILLANOVA AVE",
            "city": "FOLSOM",
            "state": "PA",
            "postal_code": "190331031",
            "telephone_number": "215-796-5424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 PONTIAC RD",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190264816",
            "telephone_number": "610-449-2001",
            "fax_number": "610-853-6460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 W Baltimore Pike Ste 100",
            "address_purpose": "LOCATION",
            "city": "West Grove",
            "state": "PA",
            "postal_code": "193909313",
            "country_code": "US",
            "telephone_number": "610-345-0700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MEGHAN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS043306",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS043306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Drexel Hill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.