Active NPI
Brian Stephen Martin, DMD
- Pediatric Dentistry
- Pittsburgh, PA
National Provider Identifier
1659308849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DS031029L
- Practice address
- 45TH and Penn Avenue
3Rd Floor Main Hospital
Pittsburgh, PA 15201 - Phone
- (412) 692-6805
- Fax
- (412) 692-7946
- NPI assigned
- Jun 26, 2006
- Last updated
- May 6, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DS031029L | PA | Primary |
Addresses
Primary practice location
45TH and Penn Avenue
3Rd Floor Main Hospital
Pittsburgh, PA 15201
Mailing address
45TH and Penn Avenue
7TH Floor Faculty Building
Pittsburgh, PA 15201
Phone (412) 692-6805
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 123088 | Other | PA | UNISON HEALTH PLAN |
| 0017923280001 | Medicaid | PA | |
| 12482 | Other | PA | DORAL DENTAL |
| 920278 | Other | PA | UNITED CONCORDIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS031029L | PA | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's Hospital Medical Center of Akron | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Akron Children's Hospital-Physician Group
- Pediatrics Physician
- Akron, OH
- NPI 1841328853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241568000000",
"number": "1659308849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45TH AND PENN AVENUE",
"address_2": "7TH FLOOR FACULTY BUILDING",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "15201",
"telephone_number": "412-692-6805",
"fax_number": "412-692-7946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45TH AND PENN AVENUE",
"address_2": "3RD FLOOR MAIN HOSPITAL",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "15201",
"telephone_number": "412-692-6805",
"fax_number": "412-692-7946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "BRIAN",
"middle_name": "STEPHEN",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2009-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "PA",
"license": "DS031029L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON HEALTH PLAN",
"identifier": "123088",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0017923280001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DORAL DENTAL",
"identifier": "12482",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "920278",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.