NPIMap

Organization Active NPI

Dennis L. Martin M.D., PC

Doing business as Martin Medical Center

  • Family Medicine Physician
  • Stilwell, OK
National Provider Identifier
1487827333
Registry record updated Sep 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11948 Issued in OK
Legal business name
DENNIS L. MARTIN M.D., PC
Doing business as
Martin Medical Center
Practice address
912 W Cedar St
Stilwell, OK 74960-3406
Phone
(918) 696-7278
Fax
(918) 696-7280
NPI assigned
Apr 10, 2008
Last updated
Sep 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2008

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

Authorized official

Name
Dr. Dennis L Martin, M.D.NPI 1649282104
Title
Owner
Phone
(918) 696-7278

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
Family Medicine Physician 207Q00000X 11948 OK Primary

Addresses

Primary practice location

912 W Cedar St
Stilwell, OK 74960-3406

Mailing address

912 W Cedar St
Stilwell, OK 74960-3406
Phone (918) 696-7278

Other identifiers 1

IdentifierTypeStateIssuer
100093670AMedicaidOK

Other names 1

  • Martin Medical Center Doing business as

National Provider Directory

National Provider Directory

Locations

912 W Cedar St
Stilwell, OK 74960
Phone (819) 696-7278

Practitioners & affiliated clinicians

Practitioners 1

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": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221436800000",
    "number": "1487827333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 W CEDAR ST",
            "city": "STILWELL",
            "state": "OK",
            "postal_code": "749603406",
            "telephone_number": "918-696-7278",
            "fax_number": "918-696-7280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 W CEDAR ST",
            "city": "STILWELL",
            "state": "OK",
            "postal_code": "749603406",
            "telephone_number": "918-696-7278",
            "fax_number": "918-696-7280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS L. MARTIN M.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2008-09-15",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-696-7278",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "11948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100093670A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Martin Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stilwell, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; 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.