Active NPI
John Thomas Martin, DDS
- Dentist
- Hampton, VA
National Provider Identifier
1740240977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Practice address
- 100 Emancipation Dr
Dental (160)
Hampton, VA 23667-0001 - Phone
- (757) 722-9961
- NPI assigned
- Mar 23, 2006
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | IL | Primary |
Addresses
Primary practice location
100 Emancipation Dr
Dental (160)
Hampton, VA 23667-0001
Mailing address
Hampton VA Medical Center
Dental (160)
Hampton, VA 23667-0001
Phone (757) 722-9961
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 |
|---|---|---|---|
| 019-024154 | IL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184025600000",
"number": "1740240977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HAMPTON VA MEDICAL CENTER",
"address_2": "DENTAL (160)",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236670001",
"telephone_number": "757-722-9961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 EMANCIPATION DR",
"address_2": "DENTAL (160)",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236670001",
"telephone_number": "757-722-9961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "JOHN",
"middle_name": "THOMAS",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-23",
"last_updated": "2007-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hampton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.