Individual provider Active NPI

Brent D Martin, DMD, MS

  • Oral and Maxillofacial Pathology Dentistry
  • Ann Arbor, MI
National Provider Identifier
1538336615
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X
License
19025300 Issued in IL
Practice address
3131 S State St Ste 309
Ann Arbor, MI 48108-1658
Phone
(503) 906-7300
NPI assigned
May 8, 2008
Last updated
Sep 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Pathology Dentistry 1223P0106X 19025300 IL Primary

Addresses

Primary practice location

3131 S State St Ste 309
Ann Arbor, MI 48108-1658

Mailing address

9750 SW Nimbus Ave
Beaverton, OR 97008-7172
Phone (503) 906-7300

Other practice location 1

9750 SW Nimbus Ave
Beaverton, OR 97008-7172
Phone (503) 906-7300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190403001677 MI Practitioner - PathologyPractitioner - Dentist 3971844846 Reassigns benefits to 1 organization
I20240205004209 OR Practitioner - Oral and Maxillofacial Pathology 3971844846 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Southern Illinois Univ School of Dental Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cta Oral Pathology Consultants of Michigan PLLCGroup PAC ID 3274040613, 2 clinicians
Curtis T. Thompson, M.D. and Associates, PLLCGroup PAC ID 8921033945, 13 clinicians

Practice addresses (Care Compare)

3131 S State St
Suite 309
Ann Arbor, MI 48108-1658
Phone (503) 906-7300

9750 SW Nimbus Ave
Beaverton, OR 97008-7172
Phone (503) 906-7300

Merit-based Incentive Payment System (MIPS)

Final score
82.5 of 100Reported as group
Quality
65
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
19025300ILMDOral and Maxillofacial Pathology Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Cta Oral Pathology Consultants of Michigan, PLLC Oral and Maxillofacial Pathology CurrentSince Dec 7, 2025 Accepting new patients
Northwest Pathology Consultants PC Oral and Maxillofacial Pathology PastSince Dec 18, 2022 Accepting new patients

Locations

3131 S State St
Ste 309
Ann Arbor, MI 48108
Phone (503) 245-8219

9750 SW Nimbus Ave
Beaverton, OR 97008

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1538336615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9750 SW NIMBUS AVE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970087172",
            "telephone_number": "503-906-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 S STATE ST STE 309",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081658",
            "telephone_number": "503-906-7300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9750 SW Nimbus Ave",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970087172",
            "country_code": "US",
            "telephone_number": "503-906-7300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "BRENT",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DMD, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-08",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "IL",
            "license": "19025300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.