NPIMap

Organization Active NPI

JB Martin IV DDS PC

  • Pediatric Dentistry
  • Portsmouth, VA
National Provider Identifier
1669636890
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
0401007603 Issued in VA
Legal business name
JB MARTIN IV DDS PC
Practice address
730 High St
Portsmouth, VA 23704-3426
Phone
(757) 397-9801
Fax
(757) 397-9805
NPI assigned
Jul 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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

Authorized official

Name
Dr. JB Martin IV, DDS
Title
Owner
Phone
(757) 397-9801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 0401007603 VA Primary

Addresses

Primary practice location

730 High St
Portsmouth, VA 23704-3426

Mailing address

730 High St
Portsmouth, VA 23704-3426
Phone (757) 397-9801

National Provider Directory

National Provider Directory
Tax ID family
Community Care Services456 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 9

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

730 High St
Portsmouth, VA 23704
Phone (757) 397-9801

NPI Registry JSON

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1669636890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 HIGH ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237043426",
            "telephone_number": "757-397-9801",
            "fax_number": "757-397-9805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 HIGH ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237043426",
            "telephone_number": "757-397-9801",
            "fax_number": "757-397-9805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JB MARTIN IV DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-16",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-397-9801",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "0401007603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.