David Frank Martino Jr.

Primary specialty

DentistTaxonomy code 122300000X

License

4005 Issued in WV

Practice address

1830 Listravia Ave
Morgantown, WV 26505-6318

Phone

(304) 292-4412

NPI assigned

Jun 29, 2012

Last updated

Jun 29, 2012By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in WV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• DRS Wilson & Martino, PLLC

  dba TLC Dental

  • General Practice Dentistry
  • Morgantown, WV
  • NPI 1336232586
  NPD (past)

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

{
    "created_epoch": "1340928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340928000000",
    "number": "1700140126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 LISTRAVIA AVE",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265056318",
            "telephone_number": "304-292-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 LISTRAVIA AVE",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265056318",
            "telephone_number": "304-292-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINO",
        "first_name": "DAVID",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-29",
        "last_updated": "2012-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WV",
            "license": "4005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Dawn Martin
• Rachel Martin, DPT
• Rhonda Martin
• Ferdinand C Martinez, M.D.
• Alyse Martino, MD
• Jenna M Martino, CFNP
• Amelita Marton, APRN, FNP-BC
• Brianna Mascara, MS, LPC, NCC
• Suzy Mascaro-Walter, CFNP
• Alexa Mascaro

• Dentist in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Dentist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; 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.