NPIMap

Organization Active NPI

DRS Martino & Wilson, PLLC

Doing business as Wilson Martino Dental of Buckhannon

  • General Practice Dentistry
  • Buckhannon, WV
National Provider Identifier
1407949639
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3070 Issued in WV
Legal business name
DRS MARTINO & WILSON, PLLC
Doing business as
Wilson Martino Dental of Buckhannon
Practice address
19 E Main St
Buckhannon, WV 26201-2715
Phone
(304) 472-4954
Fax
(304) 472-8898
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert V Martino, DDSNPI 1669570081
Title
Ceo
Phone
(304) 624-5250

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 3070 WV Primary

Addresses

Primary practice location

19 E Main St
Buckhannon, WV 26201-2715

Mailing address

516 Cost Ave
Stonewood, WV 26301-4811
Phone (304) 624-5250

Other identifiers 1

IdentifierTypeStateIssuer
3810001852OtherWVWV DENTAL MEDICAL CARD

Other names 1

  • Wilson Martino Dental of Buckhannon Doing business as

National Provider Directory

National Provider Directory

Locations

19 E Main St
Buckhannon, WV 26201
Phone (304) 472-4954

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407949639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 COST AVE",
            "city": "STONEWOOD",
            "state": "WV",
            "postal_code": "263014811",
            "telephone_number": "304-624-5250",
            "fax_number": "304-624-5251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 E MAIN ST",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "262012715",
            "telephone_number": "304-472-4954",
            "fax_number": "304-472-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS MARTINO & WILSON, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTINO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "304-624-5250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "3070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV DENTAL MEDICAL CARD",
            "identifier": "3810001852",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilson Martino Dental of Buckhannon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buckhannon, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.