Organization Active NPI

Martin R. Minix D.M.D, P.S.C.

  • General Practice Dentistry
  • East Point, KY
National Provider Identifier
1811266406
Registry record updated Dec 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6678 Issued in KY
Legal business name
MARTIN R. MINIX D.M.D, P.S.C.
Practice address
253 Hager BR
East Point, KY 41216-8766
Phone
(606) 886-0808
Fax
(606) 886-9584
NPI assigned
Dec 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2011

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

Authorized official

Name
Dr. Martin Russell Minix, D.M.D.NPI 1497800171
Title
President
Phone
(606) 886-0808

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 6678 KY Primary

Addresses

Primary practice location

253 Hager BR
East Point, KY 41216-8766

Mailing address

PO Box 229
Prestonsburg, KY 41653-0229
Phone (606) 886-0808

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1325030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325030400000",
    "number": "1811266406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 229",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416530229",
            "telephone_number": "606-886-0808",
            "fax_number": "606-886-9584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 HAGER BR",
            "city": "EAST POINT",
            "state": "KY",
            "postal_code": "412168766",
            "telephone_number": "606-886-0808",
            "fax_number": "606-886-9584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN R. MINIX D.M.D, P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-28",
        "last_updated": "2011-12-28",
        "status": "A",
        "authorized_official_last_name": "MINIX",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-886-0808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "6678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Point, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; 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.