Martin Russell Minix, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6678 Issued in KY

Practice address

253 Hager Branch
East Point, KY 41216

Phone

(606) 886-0808

Fax

(606) 886-9584

NPI assigned

Jan 24, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Martin R. Minix D.M.D, P.S.C.

  • General Practice Dentistry
  • East Point, KY
  • NPI 1811266406
  NPD (past) Authorized official

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497800171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 229",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416530229",
            "telephone_number": "606-886-0808",
            "fax_number": "606-886-9584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 HAGER BRANCH",
            "city": "EAST POINT",
            "state": "KY",
            "postal_code": "41216",
            "telephone_number": "606-886-0808",
            "fax_number": "606-886-9584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINIX",
        "first_name": "MARTIN",
        "middle_name": "RUSSELL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "6678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60066784",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• BMMM, Inc (Minix Dental)
• Dr. Ryan Maynard Chiropractic LLC
• Eastern Point of Recovery
• Melanie Minix Huffine, RDH
• Martin R. Minix D.M.D, P.S.C.
• Craig Allen Rawson, CCC-A
• Recovery Well
• Tiffany Nicole Wright, PMHNP-BC

• General Practice Dentistry in East Point, KY
• Providers in East Point, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.