Active NPI
Martin Joseph Chambers Jr., DDS
- General Practice Dentistry
- Fairview Park, OH
National Provider Identifier
1710181094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 17711
- Practice address
- 21990 Lorain Road
#205
Fairview Park, OH 44126 - Phone
- (440) 333-4046
- Fax
- (440) 895-1183
- NPI assigned
- Jun 12, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 17711 | OH | Primary |
Addresses
Primary practice location
21990 Lorain Road
#205
Fairview Park, OH 44126
Mailing address
21990 Lorain Road
#205
Fairview Park, OH 44126
Phone (440) 333-4046
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17711 | OH | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710181094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21990 LORAIN ROAD",
"address_2": "#205",
"city": "FAIRVIEW PARK",
"state": "OH",
"postal_code": "44126",
"telephone_number": "440-333-4046",
"fax_number": "440-895-1183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21990 LORAIN ROAD",
"address_2": "#205",
"city": "FAIRVIEW PARK",
"state": "OH",
"postal_code": "44126",
"telephone_number": "440-333-4046",
"fax_number": "440-895-1183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAMBERS",
"first_name": "MARTIN",
"middle_name": "JOSEPH",
"name_suffix": "Jr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "17711",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairview Park, OH
- Louis P Caravella, MD
- Cardiovascular Imaging Associates, LLC
- Cardiovascular Medicine of Cleveland, LLC
- Catherine a Vlastaris Underman MD Inc
- Center for Dialysis Care Westside Home Care LLC
- CHC Physical Therapy, Inc.
- City of Fairview Park
- Classic Medical Staffing,LLC
- Classic Ms, LLC
- Cleveland Cardiovascular Research Foundation
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.