Organization Active NPI

Bryan D. Martz D.D.S., M.S., Inc.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Mansfield, OH
National Provider Identifier
1598884108
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
30-01-4695 Issued in OH
Legal business name
BRYAN D. MARTZ D.D.S., M.S., INC.
Practice address
625 Cline Ave
Mansfield, OH 44907-1038
Phone
(419) 756-8888
Fax
(419) 756-4547
NPI assigned
Mar 28, 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
Mrs. Joanna Martz
Title
Vice President
Phone
(419) 756-8888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 30-01-4695 OH Primary

Addresses

Primary practice location

625 Cline Ave
Mansfield, OH 44907-1038

Mailing address

625 Cline Ave
Mansfield, OH 44907-1038
Phone (419) 756-8888

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598884108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 CLINE AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449071038",
            "telephone_number": "419-756-8888",
            "fax_number": "419-756-4547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 CLINE AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449071038",
            "telephone_number": "419-756-8888",
            "fax_number": "419-756-4547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN D. MARTZ D.D.S., M.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTZ",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "419-756-8888",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OH",
            "license": "30-01-4695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, OH

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.