Ryan C. Martin DMD PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3580 Issued in AR

Legal business name

RYAN C. MARTIN DMD PLLC

Doing business as

Cabot Dental Group

Practice address

108 S 10TH St
Cabot, AR 72023-2820

Phone

(501) 843-7726

Fax

(501) 843-3561

NPI assigned

Aug 29, 2014

Last updated

Aug 29, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ryan C Martin, DMDNPI 1386863595

Title

Owner/President

Phone

(501) 843-7726

Specialties & licenses 1

Addresses

Other names 1

• Cabot Dental Group Doing business as

Practitioners 2

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.

• Ryan Martin, DDS

  • General Practice Dentistry
  • Cabot, AR
  • NPI 1386863595
  NPD (past) Authorized official
• Matthew W Dover, D.D.S.

  • General Practice Dentistry
  • Cabot, AR
  • NPI 1295963726
  NPD (past)

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

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409270400000",
    "number": "1528468360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 S 10TH ST",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720232820",
            "telephone_number": "501-843-7726",
            "fax_number": "501-843-3561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 S 10TH ST",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720232820",
            "telephone_number": "501-843-7726",
            "fax_number": "501-843-3561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN C. MARTIN DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-29",
        "last_updated": "2014-08-29",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "501-843-7726",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cabot Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeffrey Tanner Rogers, PHARMD
• Madilyn Jade Roling
• Frances Renee Ross, MD
• Albert Russenberger II
• Cheria Russenberger, APN
• Samuel F. Jirik DDS PA (Jirik Dental Group)
• Kayla R Sanders, APRN
• Dixie Renee Santiago, LPC
• Tina Santoro, MS, CCC-SLP
• Jordan Sarno

• General Practice Dentistry in Cabot, AR
• Providers in Cabot, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2014; 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.