India Martin, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

7959 Issued in OK

Practice address

1520 S Main St
Blackwell, OK 74631-4921

Phone

(580) 262-8420

NPI assigned

Aug 8, 2023

Last updated

Oct 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Daniel G Stockburger DDS PC

  dba Oyster Point Smiles

  • General Practice Dentistry
  • Newport News, VA
  • NPI 1861123051
  NPD

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

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1447933429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 S MAIN ST",
            "city": "BLACKWELL",
            "state": "OK",
            "postal_code": "746314921",
            "telephone_number": "580-262-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 S MAIN ST",
            "city": "BLACKWELL",
            "state": "OK",
            "postal_code": "746314921",
            "telephone_number": "580-262-8420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "606 Thimble Shoals Blvd Ste C1",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236064521",
            "country_code": "US",
            "telephone_number": "757-873-2577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "INDIA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-08",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "7959",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401418605",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominique Kingfisher
• Justun Kukuk, PHARMD
• Robert London, DDS
• Travis Harold Luke, DDS
• Haylee Magin
• Ronald Lee Matheson, CRNA
• Tracy Rene McAreavey, RPT
• McGuire Cares Medical, Co.
• Sarah Elizabeth McGuire, APRN
• Aaron Martin Neale, D.D.S.

• Dentist in Blackwell, OK
• Providers in Blackwell, OK by specialty
• Dentist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; 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.