C. Douglas Martin, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4182 Issued in AL

Practice address

202 Inverness Center Dr
Suite 301
Birmingham, AL 35242-7633

Phone

(205) 991-8939

Fax

(205) 995-5028

NPI assigned

Dec 18, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447313051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 INVERNESS CENTER DR",
            "address_2": "SUITE 301",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352427633",
            "telephone_number": "205-991-8939",
            "fax_number": "205-995-5028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 INVERNESS CENTER DR",
            "address_2": "SUITE 301",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352427633",
            "telephone_number": "205-991-8939",
            "fax_number": "205-995-5028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "C.",
        "middle_name": "DOUGLAS",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "4182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Nicole Martin, BCBA
• Aubrey Martin
• Barry W Martin, MD
• Bess Wells Martin, PT
• Bradley Martin, NP
• Cody Martin
• Connie McMichael Martin, MS,RD,LD
• David Antone Martin, LPC
• Domonique Marie Martin, DPT
• Emily Anne Martin, CRNP

• General Practice Dentistry in Birmingham, AL
• Providers in Birmingham, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.