Boyd Dwain Martin III, D.M.D., M.S.D.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

52755 Issued in CA

Practice address

140 Hidden Valley Pkwy
Suite K
Norco, CA 92860-4000

Phone

(951) 898-8673

Fax

(951) 898-1147

NPI assigned

Jun 26, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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.

• Rodgers and Dhama Dental Corporation

  • General Practice Dentistry
  • Norco, CA
  • NPI 1487759304
  NPD (past)

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214438400000",
    "number": "1548422959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2631 POINT DEL MAR",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926251552",
            "telephone_number": "949-720-3751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 HIDDEN VALLEY PKWY",
            "address_2": "SUITE K",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928604000",
            "telephone_number": "951-898-8673",
            "fax_number": "951-898-1147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "BOYD",
        "middle_name": "DWAIN",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.M.D., M.S.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-26",
        "last_updated": "2008-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "52755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Imran Malik, MD
• Marcee Lynn Hirst
• Melissa Marin
• Ashley L Maron
• Michelle Areli Marquez, RDN
• Esther Martinez
• Jesus Eduardo Martinez, D.D.S.
• Anna Hallowanger Massaquoi-Browne
• Jerra Berniece Mays-Speir, OTD, OTR/L
• Jesse McClellan

• Orthodontics and Dentofacial Orthopedics Dentistry in Norco, CA
• Providers in Norco, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.