Organization Active NPI

Martin Lee Schellinck DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Walnut Creek, CA
National Provider Identifier
1497131262
Registry record updated Aug 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
62193 Issued in CA
Legal business name
MARTIN LEE SCHELLINCK DDS
Practice address
1855 San Miguel Dr
Suite 14
Walnut Creek, CA 94596-5279
Phone
(925) 300-3619
NPI assigned
Aug 4, 2015
Last updated
Aug 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2015

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

Authorized official

Name
Dr. Martin Lee Schellinck, DDSNPI 1184903569
Title
Orthodontist
Phone
(925) 300-3619

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
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 62193 CA Primary

Addresses

Primary practice location

1855 San Miguel Dr
Suite 14
Walnut Creek, CA 94596-5279

Mailing address

1855 San Miguel Dr
Suite 14
Walnut Creek, CA 94596-5279
Phone (925) 300-3619

National Provider Directory

National Provider Directory

Locations

1855 San Miguel Dr
Ste 14
Walnut Creek, CA 94596
Phone (925) 300-3619

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": "1438646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438646400000",
    "number": "1497131262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 SAN MIGUEL DR",
            "address_2": "SUITE 14",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965279",
            "telephone_number": "925-300-3619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 SAN MIGUEL DR",
            "address_2": "SUITE 14",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965279",
            "telephone_number": "925-300-3619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN LEE SCHELLINCK DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-04",
        "last_updated": "2015-08-04",
        "status": "A",
        "authorized_official_last_name": "SCHELLINCK",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "925-300-3619",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "62193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; 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.