NPIMap

Organization Active NPI

J. Kevin Martin, DDS, PLLC

  • General Practice Dentistry
  • Princeton, WV
National Provider Identifier
1467575290
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2918 Issued in WV
Legal business name
J. KEVIN MARTIN, DDS, PLLC
Practice address
1613 Honaker Ave
Princeton, WV 24740-2640
Phone
(304) 425-4964
NPI assigned
Apr 8, 2007
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. James Kevin Martin, D.D.S.NPI 1679696405
Title
Owner
Phone
(304) 425-4964

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2918 WV Primary

Addresses

Primary practice location

1613 Honaker Ave
Princeton, WV 24740-2640

Mailing address

1613 Honaker Ave
Princeton, WV 24740-2640
Phone (304) 425-4964

National Provider Directory

National Provider Directory

Locations

1613 Honaker Ave
Princeton, WV 24740
Phone (304) 425-4964

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467575290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 HONAKER AVE",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402640",
            "telephone_number": "304-425-4964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 HONAKER AVE",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402640",
            "telephone_number": "304-425-4964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. KEVIN MARTIN, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-425-4964",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "2918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, 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.