Organization Active NPI

Matthew B Martin DDS Inc

Doing business as Matthew B Martin DDS

  • Dental Clinic/Center
  • Great Falls, MT
National Provider Identifier
1780825703
Registry record updated Mar 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
2250 Issued in MT
Legal business name
MATTHEW B MARTIN DDS INC
Doing business as
Matthew B Martin DDS
Practice address
2527 6TH Ave S
Great Falls, MT 59405-3013
Phone
(208) 452-2138
NPI assigned
Mar 20, 2009
Last updated
Mar 20, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2009

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

Authorized official

Name
Dr. Matthew Burgess Martin, DDSNPI 1477660025
Title
President
Phone
(406) 452-2138

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 2250 MT Primary

Addresses

Primary practice location

2527 6TH Ave S
Great Falls, MT 59405-3013

Mailing address

409 Riverview Dr E
Great Falls, MT 59404-1553
Phone (406) 788-0762

Other names 1

  • Matthew B Martin DDS Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1237507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237507200000",
    "number": "1780825703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 RIVERVIEW DR E",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594041553",
            "telephone_number": "406-788-0762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2527 6TH AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594053013",
            "telephone_number": "208-452-2138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW B MARTIN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-20",
        "last_updated": "2009-03-20",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "BURGESS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-452-2138",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MT",
            "license": "2250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Matthew B Martin DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Great Falls, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2009; 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.