Individual provider Active NPI

Martin W Layman, D.D.S, F.A.G.D.

  • General Practice Dentistry
  • Streetsboro, OH
National Provider Identifier
1770587263
Registry record updated May 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20010 Issued in OH
Practice address
9330 Market Square Dr.
Suite 100
Streetsboro, OH 44241
Phone
(330) 422-0011
Fax
(330) 422-0030
NPI assigned
Jun 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 20010 OH Primary

Addresses

Primary practice location

9330 Market Square Dr.
Suite 100
Streetsboro, OH 44241

Mailing address

9330 Market Square Drive
Suite 100
Streetsboro, OH 44241
Phone (330) 422-0011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20130705000372 OH Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5890935316

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20010OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Dental Professionals, Delisle, P.C. General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432771200000",
    "number": "1770587263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9330 MARKET SQUARE DRIVE",
            "address_2": "SUITE 100",
            "city": "STREETSBORO",
            "state": "OH",
            "postal_code": "44241",
            "telephone_number": "330-422-0011",
            "fax_number": "330-422-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 MARKET SQUARE DR.",
            "address_2": "SUITE 100",
            "city": "STREETSBORO",
            "state": "OH",
            "postal_code": "44241",
            "telephone_number": "330-422-0011",
            "fax_number": "330-422-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAYMAN",
        "first_name": "MARTIN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.D.S, F.A.G.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2015-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "20010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Streetsboro, OH

Sources for this page

Verify at the official NPI Registry.