Caleb Charles Martin, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN27172 Issued in FL

Practice address

17840 Toledo Blade Blvd Unit a
Port Charlotte, FL 33948-1020

Phone

(941) 627-5858

NPI assigned

Jun 28, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles (2 of 3)

Locations

Networks

• Freedom Health HMO Network

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.

• David W Rowe, DMD, PA

  • Dentist
  • Port Charlotte, FL
  • NPI 1720456098
  NPD
• Paradise Dental

  • General Practice Dentistry
  • Port Charlotte, FL
  • NPI 1700183431
  NPD (past)

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1346972320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17840 TOLEDO BLADE BLVD UNIT A",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339481020",
            "telephone_number": "941-627-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17840 TOLEDO BLADE BLVD UNIT A",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339481020",
            "telephone_number": "941-627-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "CALEB",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-28",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN27172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marshall Family Dentistry
• Philip Lewis Marshall, D.M.D.
• Elizabeth Marsicovetere, LCSW
• Martin Aguero, MD PLLC
• Martin B. Zieman OD, PA
• Judy Ann Martin
• Stacy Martin
• Jose Ernesto Martinez Gomez
• Niurka Martinez Rodriguez
• Yuraimi Martinez Sena

• All providers in Port Charlotte, FL
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; 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.