NPIMap

Organization Active NPI

Martin Dentistry

  • Dental Clinic/Center
  • Elizabethton, TN
National Provider Identifier
1639804693
Registry record updated Jul 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MARTIN DENTISTRY
Practice address
208 Parkway Blvd
Elizabethton, TN 37643-2845
Phone
(423) 543-5200
NPI assigned
Jul 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2022

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

Authorized official

Name
Rebecca Arnold
Title
Insurance Coordinator
Phone
(423) 247-8172

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

208 Parkway Blvd
Elizabethton, TN 37643-2845

Mailing address

208 Parkway Blvd
Elizabethton, TN 37643-2845
Phone (423) 543-5200

Other names 1

  • Parkway Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Martin Dentistry PC5 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

208 Parkway Blvd
Elizabethton, TN 37643
Phone (423) 543-5200

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1658448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658448000000",
    "number": "1639804693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 PARKWAY BLVD",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376432845",
            "telephone_number": "423-543-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 PARKWAY BLVD",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376432845",
            "telephone_number": "423-543-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-22",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-12",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "423-247-8172"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkway Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elizabethton, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; 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.