NPIMap

Organization Active NPI

Martin Dentistry PC

Doing business as Martin Dentistry of Johnson City

  • Dental Clinic/Center
  • Johnson City, TN
National Provider Identifier
1790357457
Registry record updated Jul 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MARTIN DENTISTRY PC
Doing business as
Martin Dentistry of Johnson City
Practice address
135 Marketplace Dr Ste 101
Johnson City, TN 37604-8933
Phone
(423) 247-8172
NPI assigned
Jul 13, 2021
Last updated
Jul 23, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
MARTIN DENTISTRY PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 23, 2021

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

Authorized official

Name
Rebecca Arnold
Title
Revenue Manager
Phone
(423) 247-8172

Specialties & licenses 1

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

Addresses

Primary practice location

135 Marketplace Dr Ste 101
Johnson City, TN 37604-8933

Mailing address

135 Marketplace Dr Ste 101
Johnson City, TN 37604-8933
Phone (423) 247-8172

Other names 1

  • Martin Dentistry of Johnson City Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Martin Dentistry PC5 organizations share this tax ID, including this one
Part of
Martin Dentistry PC

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626998400000",
    "number": "1790357457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 MARKETPLACE DR STE 101",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376048933",
            "telephone_number": "423-247-8172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 MARKETPLACE DR STE 101",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376048933",
            "telephone_number": "423-247-8172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN DENTISTRY PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARTIN DENTISTRY PC",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "REVENUE MANAGER",
        "authorized_official_telephone_number": "423-247-8172"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Martin Dentistry of Johnson City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Johnson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; 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.