NPIMap

Organization Active NPI

John C. Martin D.M.D., M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Conyers, GA
National Provider Identifier
1679619118
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
008367 Issued in GA
Legal business name
JOHN C. MARTIN D.M.D., M.S.
Practice address
1728 Highway 138 SE
Suite 130
Conyers, GA 30013-5759
Phone
(770) 761-1330
Fax
(770) 761-1991
NPI assigned
Jan 30, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
John C Martin, D.M.D., M.S.
Title
Orthodontist
Phone
(770) 761-1330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 008367 GA Primary

Addresses

Primary practice location

1728 Highway 138 SE
Suite 130
Conyers, GA 30013-5759

Mailing address

1728 Highway 138 SE
Suite 130
Conyers, GA 30013-5759
Phone (770) 761-1330

Other names 1

  • North Georgia Orthodontics Other name

National Provider Directory

National Provider Directory
Tax ID family
John C Martin DMD Ms5 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

1728 Highway 138 SE
Ste 130
Conyers, GA 30013
Phone (770) 761-1330

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679619118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1728 HIGHWAY 138 SE",
            "address_2": "SUITE 130",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300135759",
            "telephone_number": "770-761-1330",
            "fax_number": "770-761-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1728 HIGHWAY 138 SE",
            "address_2": "SUITE 130",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300135759",
            "telephone_number": "770-761-1330",
            "fax_number": "770-761-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN C. MARTIN D.M.D., M.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "770-761-1330",
        "authorized_official_credential": "D.M.D., M.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "GA",
            "license": "008367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Georgia Orthodontics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.