Michael E Martin Jr DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE8230 Issued in WA

Legal business name

MICHAEL E MARTIN JR DDS

Doing business as

Keystone Dental

Practice address

2210 N 56TH St
Seattle, WA 98103-6204

Phone

(206) 545-4411

NPI assigned

Jun 9, 2012

Last updated

Jun 9, 2012By 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

Dr. Michael E Martin Jr., DDSNPI 1013063940

Title

President

Phone

(206) 618-7212

Specialties & licenses 1

Addresses

Other names 1

• Keystone Dental Doing business as

Locations

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.

• Michael E Martin, DDS

  • General Practice Dentistry
  • Seattle, WA
  • NPI 1013063940
  NPD (past) Authorized official
• Heidi Jo Hackett, DDS

  • Dentist
  • Seattle, WA
  • NPI 1174692834
  NPD (past)

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

{
    "created_epoch": "1339200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339200000000",
    "number": "1588926281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 N 45TH ST # 210",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981036905",
            "telephone_number": "206-618-7212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 N 56TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981036204",
            "telephone_number": "206-545-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL E MARTIN JR DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-09",
        "last_updated": "2012-06-09",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-618-7212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE8230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keystone Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Weiqun Miao, ACUPUNCTURIST
• Ricky Miaw, LMT
• Micah Bickel Daniel Bickel PLCC (Phinney Ridge Dental)
• Kristen Marie Micevic, PA-C
• Michael Bourbonnais PS (Fremont Chiropractic)
• Michael F. Failla, Inc., P.S. (Evergreen Chiropractic Center)
• Michael Huynh DDS and Amin Tabatabaian, DDS PLLC (Oak Tree Dental Care)
• Michael Kang, DMD, MMSC, PLLC (Endodontics Seattle)
• Michael L Bilikas DDS, PS
• Michael Lacorte Dentistry, PC

• General Practice Dentistry in Seattle, WA
• Providers in Seattle, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2012; 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.