John Martin DDS

Primary specialty

DentistTaxonomy code 122300000X

License

15178 Issued in MO

Legal business name

JOHN MARTIN DDS

Practice address

12131 Dorsett
St 211
Maryland Heights, MO 63043

Phone

(314) 739-1222

Fax

(314) 739-1094

NPI assigned

May 14, 2012

Organization subpart

No

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

Authorized official

Name

Daryl John Martin Jr., DDS

Title

DDS

Phone

(314) 739-1222

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336953600000",
    "number": "1487913299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12131 DORSETT ST 211",
            "address_2": "ST 211",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "63043",
            "telephone_number": "314-739-1222",
            "fax_number": "314-739-1094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12131 DORSETT",
            "address_2": "ST 211",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "63043",
            "telephone_number": "314-739-1222",
            "fax_number": "314-739-1094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN MARTIN DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-14",
        "last_updated": "2012-05-14",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "DARYL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "314-739-1222",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MO",
            "license": "15178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Maryland Heights, MO
• Providers in Maryland Heights, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; 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.