Organization Active NPI

B Martin and G Martin PLLC

  • Dentist
  • Sunnyside, WA
National Provider Identifier
1801202809
Registry record updated Nov 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
B MARTIN AND G MARTIN PLLC
Practice address
1719 E. Lincoln Ave.
Sunnyside, WA 98944
Phone
(509) 288-4884
Fax
(509) 288-4885
NPI assigned
Jul 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2014

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

Authorized official

Name
Gary E Martin, D.D.S.
Title
Owner
Phone
(509) 288-4884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X WA Primary

Addresses

Primary practice location

1719 E. Lincoln Ave.
Sunnyside, WA 98944

Mailing address

1719 E. Lincoln Ave.
Sunnyside, WA 98944
Phone (509) 288-4884

Other identifiers 4

IdentifierTypeStateIssuer
DE00007707OtherWAINSURANCE
DE00005731OtherWAINSURANCE
DE60029611OtherWAINSURANCE
DE00008085OtherWAINSURANCE

Other names 1

  • Sweet Dreams Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1719 E Lincoln Ave
Sunnyside, WA 98944
Phone (509) 288-4884

NPI Registry JSON

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

{
    "created_epoch": "1404950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416182400000",
    "number": "1801202809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 E. LINCOLN AVE.",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "98944",
            "telephone_number": "509-288-4884",
            "fax_number": "509-288-4885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 E. LINCOLN AVE.",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "98944",
            "telephone_number": "509-288-4884",
            "fax_number": "509-288-4885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B MARTIN AND G MARTIN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-10",
        "last_updated": "2014-11-17",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-288-4884",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE",
            "identifier": "DE00007707",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE",
            "identifier": "DE00005731",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE",
            "identifier": "DE60029611",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE",
            "identifier": "DE00008085",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sweet Dreams Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sunnyside, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2014; 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.