Dennis Lee Martin, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

11948 Issued in OK

Practice address

912 W Cedar St
Stilwell, OK 74960-3406

Phone

(918) 696-7278

Fax

(918) 696-7280

NPI assigned

Aug 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Adair County Health Center, Inc.

  • Medical Specialty Clinic/Center
  • Stilwell, OK
  • NPI 1972780765
  Medicare reassignment NPD
• Adair County Health Center, Inc.

  • Rural Acute Care Hospital
  • Stilwell, OK
  • NPI 1790753358
  NPD
• Adair County Health Center,Inc.

  • Family Medicine Physician
  • Stilwell, OK
  • NPI 1326017492
  NPD

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649282104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 W CEDAR ST",
            "city": "STILWELL",
            "state": "OK",
            "postal_code": "749603406",
            "telephone_number": "918-696-7278",
            "fax_number": "918-696-7280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 W CEDAR ST",
            "city": "STILWELL",
            "state": "OK",
            "postal_code": "749603406",
            "telephone_number": "918-696-7278",
            "fax_number": "918-696-7280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "DENNIS",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "11948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100093670A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "731084309001",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vickie Sue Love, ARNP
• Karen Louise Lowe Snowden, PARAPROFESSIONAL
• Georgia Delain Lowe
• Bryan Lee Maloney, B.S
• Cailey Jane Martin, DDS
• Natisha Lynn Martin
• Diamantina Martinez
• Maryetta School
• James Andrew Massie, M.S.
• Darrylyn Nicole Mathews

• Family Medicine Physician in Stilwell, OK
• Providers in Stilwell, OK by specialty
• Family Medicine Physician in Oklahoma

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.