John Patrick Martin, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

WV3264 Issued in WV

Practice address

3659 Teays Valley Road
Suite 100
Hurricane, WV 25526-9701

Phone

(304) 201-8500

Fax

(304) 201-8505

NPI assigned

Jan 29, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• DRS Martin & Kirk PLLC

  dba Teays Valley Pediatric Dentistry

  • Pediatric Dentistry
  • Hurricane, WV
  • NPI 1881730844
  NPD (past) Authorized official
• DRS. Martin Kirk & Holmes

  dba Huntington Pediatric Dentistry & Orthodontics

  • Pediatric Dentistry
  • Huntington, WV
  • NPI 1003197070
  NPD (past) Authorized official

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639215684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 581",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255260581",
            "telephone_number": "304-201-8500",
            "fax_number": "304-201-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3659 TEAYS VALLEY ROAD",
            "address_2": "SUITE 100",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255269701",
            "telephone_number": "304-201-8500",
            "fax_number": "304-201-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JOHN",
        "middle_name": "PATRICK",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WV",
            "license": "WV3264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0134667000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Suzanne Malone, DPT
• Joseph B Marinacci, D.C.
• Deborah Marion, L.P.C.
• Jennifer L Marsh, PT
• Branson Martin, DDS
• Richard Wilbert Martin, PT, DPT
• Shelli Marie Martin, PTA
• Teddy Joe Martin II, LMT
• Ashley Nichole Mason, DPT
• Charity Lenora Matney

• Pediatric Dentistry in Hurricane, WV
• Providers in Hurricane, WV by specialty
• Pediatric Dentistry in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.