Individual provider Active NPI

Martin Oakes, DDS

  • Pediatric Dentistry
  • Fayetteville, NC
National Provider Identifier
1568568467
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
6853 Issued in NC
Practice address
2029 Valleygate Dr
Suite 201
Fayetteville, NC 28304-3688
Phone
(910) 485-8884
NPI assigned
Sep 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 6853 NC Primary

Addresses

Primary practice location

2029 Valleygate Dr
Suite 201
Fayetteville, NC 28304-3688

Mailing address

2029 Valleygate Dr
Suite 201
Fayetteville, NC 28304-3688
Phone (910) 485-8884

Other identifiers 1

IdentifierTypeStateIssuer
899007RMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20150613000019 NC Practitioner - Oral Surgery 1759692023 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6853NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan, James, Wiles, Patel & Olsen LLP CurrentSince Apr 1, 2015 Accepting new patients
Ryan, James, Wiles, Patel & Olsen LLP CurrentSince Apr 1, 2015 Accepting new patients
Ryan, James, Wiles, Patel & Olsen LLP PastSince Jun 8, 2025 Accepting new patients

Locations

2028 Litho Pl
Ste 300
Fayetteville, NC 28304
Phone (910) 485-7070

2029 Valleygate Dr
Ste 201
Fayetteville, NC 28304
Phone (910) 485-8884

2015 Valleygate Dr
Fayetteville, NC 28304
Phone (910) 223-7011

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568568467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2029 VALLEYGATE DR",
            "address_2": "SUITE 201",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043688",
            "telephone_number": "910-485-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2029 VALLEYGATE DR",
            "address_2": "SUITE 201",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043688",
            "telephone_number": "910-485-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OAKES",
        "first_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "6853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "899007R",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.