Stephen H Martin DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5522 Issued in WA

Legal business name

STEPHEN H MARTIN DDS

Practice address

613 5TH Ave S
Edmonds, WA 98020-3452

Phone

(425) 778-7007

NPI assigned

Jul 29, 2016

Organization subpart

No

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

Authorized official

Name

Stephen Martin, DDSNPI 1376522250

Title

Dentist

Phone

(425) 778-7007

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen Howard Martin, DDS

  • Dentist
  • Edmonds, WA
  • NPI 1376522250
  NPD (past) Authorized official

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

{
    "created_epoch": "1469750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469750400000",
    "number": "1801349477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 323",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980200323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 5TH AVE S",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980203452",
            "telephone_number": "425-778-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN H MARTIN DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-29",
        "last_updated": "2016-07-29",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "425-778-7007",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "5522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Stapleton, LMFT
• Michael Scott Staszak, MA, LMHC, MHP
• Dustin Steffan, DPT
• Melissa Steinberg
• Amy Stengele, RN
• Samuel Stephens
• Simon Stephens
• Steven H Swedberg MD PS
• Stevens Foot & Ankle LLP
• Angel Guadalupe Stewart, LMT

• General Practice Dentistry in Edmonds, WA
• Providers in Edmonds, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2016; 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.