Organization Active NPI

John V Martin MD LTD

  • Specialist
  • Las Vegas, NV
National Provider Identifier
1376820035
Registry record updated Nov 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
7520 Issued in NV
Legal business name
JOHN V MARTIN MD LTD
Practice address
2050 Mariner Dr
Suite 120
Las Vegas, NV 89128-6656
Phone
(702) 255-2022
Fax
(702) 255-8810
NPI assigned
Nov 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2011

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

Authorized official

Name
John V Martin, MD
Title
Owner/Manager
Phone
(702) 255-2022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 7520 NV Primary

Addresses

Primary practice location

2050 Mariner Dr
Suite 120
Las Vegas, NV 89128-6656

Mailing address

2050 Mariner Dr
Suite 120
Las Vegas, NV 89128-6656
Phone (702) 255-2022

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1320796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320796800000",
    "number": "1376820035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 MARINER DR",
            "address_2": "SUITE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891286656",
            "telephone_number": "702-255-2022",
            "fax_number": "702-255-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 MARINER DR",
            "address_2": "SUITE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891286656",
            "telephone_number": "702-255-2022",
            "fax_number": "702-255-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN V MARTIN MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-09",
        "last_updated": "2011-11-09",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "702-255-2022",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NV",
            "license": "7520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; 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.