Organization Active NPI

Thomas a Martin, DDS PC

  • Dentist
  • West Seneca, NY
National Provider Identifier
1639504806
Registry record updated Sep 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
053885 Issued in NY
Legal business name
THOMAS A MARTIN, DDS PC
Practice address
3887 Seneca St
West Seneca, NY 14224-3489
Phone
(716) 674-3091
Fax
(716) 677-4600
NPI assigned
Sep 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2013

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

Authorized official

Name
Dr. Thomas Martin, DDS
Title
President
Phone
(716) 908-6733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 053885 NY Primary

Addresses

Primary practice location

3887 Seneca St
West Seneca, NY 14224-3489

Mailing address

3887 Seneca St
West Seneca, NY 14224-3489
Phone (716) 674-3091

Other identifiers 1

IdentifierTypeStateIssuer
03167571MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Thomas a Martin DDS PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1378425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378425600000",
    "number": "1639504806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3887 SENECA ST",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142243489",
            "telephone_number": "716-674-3091",
            "fax_number": "716-677-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3887 SENECA ST",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142243489",
            "telephone_number": "716-674-3091",
            "fax_number": "716-677-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS A MARTIN, DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-06",
        "last_updated": "2013-09-06",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-908-6733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "053885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03167571",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Seneca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2013; 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.