Active NPI
Edward D Martin, M.D.
- Pediatrics Physician
- Arlington, VA
National Provider Identifier
1659518751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0101043364
- Practice address
- 5309 1St PL N
Arlington, VA 22203-1246 - Phone
- (703) 524-5850
- NPI assigned
- Jan 11, 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0101043364 | VA | Primary |
Addresses
Primary practice location
5309 1St PL N
Arlington, VA 22203-1246
Mailing address
5309 1St PL N
Arlington, VA 22203-1246
Phone (703) 524-5850
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101043364 | VA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231632000000",
"number": "1659518751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5309 1ST PL N",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222031246",
"telephone_number": "703-524-5850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5309 1ST PL N",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222031246",
"telephone_number": "703-524-5850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "EDWARD",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-01-11",
"last_updated": "2009-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101043364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.