NPIMap

Organization Active NPI

Dr Richard J Martin a Professional Corporation

  • Dental Clinic/Center
  • Sulphur, LA
National Provider Identifier
1508952763
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
2844 Issued in LA
Legal business name
DR RICHARD J MARTIN A PROFESSIONAL CORPORATION
Practice address
1621 Beglis Pkwy
Sulphur, LA 70663-5906
Phone
(337) 527-8527
Fax
(337) 528-2568
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Dr. Richard James Martin, DDSNPI 1215023445
Title
President/Owner
Phone
(337) 527-8527

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
Dental Clinic/Center 261QD0000X 2844 LA Primary

Addresses

Primary practice location

1621 Beglis Pkwy
Sulphur, LA 70663-5906

Mailing address

1621 Beglis Pkwy
Sulphur, LA 70663-5906
Phone (337) 527-8527

Other identifiers 1

IdentifierTypeStateIssuer
172760269OtherLAAMERICAN DENTAL ASSOC. #

National Provider Directory

National Provider Directory

Locations

1621 Beglis Pkwy
Sulphur, LA 70663
Phone (337) 527-8527

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": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1508952763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 BEGLIS PKWY",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706635906",
            "telephone_number": "337-527-8527",
            "fax_number": "337-528-2568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 BEGLIS PKWY",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706635906",
            "telephone_number": "337-527-8527",
            "fax_number": "337-528-2568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR RICHARD J MARTIN A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "337-527-8527",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "LA",
            "license": "2844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN DENTAL ASSOC. #",
            "identifier": "172760269",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sulphur, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.