Raymond Kirk Martin, D.D.S.,M.A.G.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15885 Issued in MA

Practice address

200 Chauncy St
Suite 212
Mansfield, MA 02048-1200

Phone

(508) 337-8555

Fax

(508) 337-6862

NPI assigned

Nov 23, 2005

Sex

Male

Sole proprietor

No

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 MA

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Raymond K Martin DDS Magd PC Inc.

  • General Practice Dentistry
  • Mansfield, MA
  • NPI 1992934665
  NPD (past) Authorized official

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700869641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CHAUNCY ST",
            "address_2": "SUITE 212",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020481200",
            "telephone_number": "508-337-8555",
            "fax_number": "508-337-6862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CHAUNCY ST",
            "address_2": "SUITE 212",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020481200",
            "telephone_number": "508-337-8555",
            "fax_number": "508-337-6862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "RAYMOND",
        "middle_name": "KIRK",
        "name_prefix": "Dr.",
        "credential": "D.D.S.,M.A.G.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "15885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Markir
• Meredith R Maroney, PHD
• Blaire L Marshall, DDS
• Jennifer Brooke Martell, FNP-C
• Dawn Martin, LICSW
• Mark John Mascheri, PT, DPT
• Jamie Mashiah
• Mass Oral Surgery, PC
• Hali Ann Massri, PMHNP-BC
• Sheylah M Mathies

• General Practice Dentistry in Mansfield, MA
• Providers in Mansfield, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.