Shannon M Martin

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

VA7853 Issued in VA

Legal business name

SHANNON M MARTIN

Practice address

12650 Warwick Blvd
Newport News, VA 23606

Phone

(757) 930-9100

Fax

(757) 930-8900

NPI assigned

Sep 6, 2007

Organization subpart

No

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

Authorized official

Name

Shannon M Martin, DDSNPI 1831203967

Title

Dentist

Phone

(757) 930-9100

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shannon M Martin, DDS

  • General Practice Dentistry
  • Newport News, VA
  • NPI 1831203967
  NPD (past) Authorized official

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1386839918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12650 WARWICK BLVD",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "23606",
            "telephone_number": "757-930-9100",
            "fax_number": "757-930-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12650 WARWICK BLVD",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "23606",
            "telephone_number": "757-930-9100",
            "fax_number": "757-930-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNON M MARTIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "757-930-9100",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "VA7853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kindra Shafer, FNP
• Parin R Shah, D.O.
• Sufia B Shahid, MD
• Alyssa Shanks, PA-C
• Austin Drennan Shanks, MD
• Robert Allan Shapiro, O.D.
• Roni Sharon, M.D.
• Jennifer L Sharp-Warthan, M.D.
• Cheryl L Sharp, WHNP, CNM
• Lauren N Sharpe-Payne, M.S., CCC-SLP

• General Practice Dentistry in Newport News, VA
• Providers in Newport News, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; 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.