NPIMap

Organization Active NPI

John C. Martin D.M.D., M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Gainesville, GA
National Provider Identifier
1578600359
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
008367 Issued in GA
Legal business name
JOHN C. MARTIN D.M.D., M.S.
Practice address
300 Pearl Nix Pkwy
Suite E
Gainesville, GA 30501-4101
Phone
(770) 535-5535
Fax
(770) 535-5540
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
John C Martin, D.M.D., M.S.
Title
Orthodontist
Phone
(770) 535-5535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 008367 GA Primary

Addresses

Primary practice location

300 Pearl Nix Pkwy
Suite E
Gainesville, GA 30501-4101

Mailing address

300 Pearl Nix Pkwy
Suite E
Gainesville, GA 30501-4101
Phone (770) 535-5535

Other names 1

  • North Georgia Orthodontics Other name

National Provider Directory

National Provider Directory
Tax ID family
John C Martin DMD Ms5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

300 Pearl Nix Pkwy
Ste E
Gainesville, GA 30501
Phone (678) 765-0101

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578600359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PEARL NIX PKWY",
            "address_2": "SUITE E",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305014101",
            "telephone_number": "770-535-5535",
            "fax_number": "770-535-5540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PEARL NIX PKWY",
            "address_2": "SUITE E",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305014101",
            "telephone_number": "770-535-5535",
            "fax_number": "770-535-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN C. MARTIN D.M.D., M.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "770-535-5535",
        "authorized_official_credential": "D.M.D., M.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "GA",
            "license": "008367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Georgia Orthodontics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gainesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.