Jeffrey R Martin, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

040170 Issued in NY

Practice address

950 Main St
East Aurora, NY 14052-1924

Phone

(716) 652-3960

Fax

(716) 652-6125

NPI assigned

Apr 18, 2007

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 NY

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

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770709701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 DEER RUN",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141273454",
            "telephone_number": "716-652-3960",
            "fax_number": "716-652-6125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 MAIN ST",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140521924",
            "telephone_number": "716-652-3960",
            "fax_number": "716-652-6125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JEFFREY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "040170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phillip Macleod
• Adriana Grace Madigan, PT, DPT
• Krysta Emily Mannion
• Brianna Marek
• Marriage and Family Therapy of Wny, PLLC
• Mary Masterson, LMT
• Jennie Mauer, LMSW
• Michael Sean McCormick, D.M.D.
• Molly Aileen McDermott
• Marta McLaughlin-Zagrobelny, PT

• General Practice Dentistry in East Aurora, NY
• Providers in East Aurora, NY by specialty
• General Practice Dentistry in New York

• 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.