Active NPI
Robert Stephen Martin, D.M.D., M.D.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Crofton, MD
National Provider Identifier
1396961728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 5401
- Practice address
- 2225 Defense Hwy.
Suite G
Crofton, MD 21114 - Phone
- (410) 721-3403
- NPI assigned
- Apr 17, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DN6218 | FL | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 5401 | MD | Primary |
Addresses
Primary practice location
2225 Defense Hwy.
Suite G
Crofton, MD 21114
Mailing address
2225 Defense Hwy.
Suite G
Crofton, MD 21114
Phone (410) 721-3403
Other practice location 1
200 Village Square Xing Ste 102
Palm Beach Gardens, FL 33410-4411
Phone (561) 501-3302
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5401 | MD | MD | School Psychologist |
| DN6218 | FL | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742256000000",
"number": "1396961728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2225 DEFENSE HWY.",
"address_2": "SUITE G",
"city": "CROFTON",
"state": "MD",
"postal_code": "21114",
"telephone_number": "410-721-3403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2225 DEFENSE HWY.",
"address_2": "SUITE G",
"city": "CROFTON",
"state": "MD",
"postal_code": "21114",
"telephone_number": "410-721-3403"
}
],
"practiceLocations": [
{
"address_1": "200 Village Square Xing Ste 102",
"address_purpose": "LOCATION",
"city": "Palm Beach Gardens",
"state": "FL",
"postal_code": "334104411",
"country_code": "US",
"telephone_number": "561-501-3302",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTIN",
"first_name": "ROBERT",
"middle_name": "STEPHEN",
"name_prefix": "Dr.",
"credential": "D.M.D., M.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-17",
"last_updated": "2025-03-18",
"certification_date": "2025-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "FL",
"license": "DN6218",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "MD",
"license": "5401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crofton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.