Commack Endodontics PC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

COMMACK ENDODONTICS PC

Practice address

164 Commack Rd
Ste #7
Commack, NY 11725-3430

Phone

(631) 462-4600

Fax

(631) 462-4602

NPI assigned

Oct 3, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Kevin A Martin, DMDNPI 1487642914

Title

Dr Owner

Phone

(631) 462-4600

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin A Martin, DMD

  • Dentist
  • Commack, NY
  • NPI 1487642914
  NPD (past) Authorized official

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770570962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 COMMACK RD",
            "address_2": "STE #7",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253430",
            "telephone_number": "631-462-4600",
            "fax_number": "631-462-4602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 COMMACK RD",
            "address_2": "STE #7",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253430",
            "telephone_number": "631-462-4600",
            "fax_number": "631-462-4602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMACK ENDODONTICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DR OWNER",
        "authorized_official_telephone_number": "631-462-4600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Commack Consultation Center
• Commack Dental Associates, LLP
• Commack Dental Care PLLC
• Commack Dental Design PLLC
• Commack Drug and Surgical and Gifts
• Commack Oral and Maxillofacial Surgeons PC
• Commack Pediatric Dental Assoc LLP
• Commack Pediatric Dentistry, P.C.
• Commack RX Pharmacy Inc
• Commack School District

• Endodontics in Commack, NY
• Providers in Commack, NY by specialty
• Endodontics in New York

• 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.