Active NPI
Philip Martin, DMD
- Dentist
- Boca Raton, FL
National Provider Identifier
1467349092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN30541
- Practice address
- 21200 Saint Andrews Blvd
Boca Raton, FL 33433-2403 - Phone
- (954) 529-9080
- NPI assigned
- Jun 18, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN30541 | FL | Primary |
Addresses
Primary practice location
21200 Saint Andrews Blvd
Boca Raton, FL 33433-2403
Mailing address
6867 NW 101St Ter
Parkland, FL 33076-2927
Phone (954) 529-9080
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 |
|---|---|---|---|
| DN30541 | FL | MD | Dentist |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750204800000",
"number": "1467349092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6867 NW 101ST TER",
"city": "PARKLAND",
"state": "FL",
"postal_code": "330762927",
"telephone_number": "954-529-9080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21200 SAINT ANDREWS BLVD",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334332403",
"telephone_number": "954-529-9080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "PHILIP",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-06-18",
"last_updated": "2025-06-18",
"certification_date": "2025-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN30541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.