Jeanne Elizabeth Martin, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7180 Issued in KY

Practice address

406 Master St
Corbin, KY 40701-1054

Phone

(606) 528-3540

Fax

(606) 528-0424

NPI assigned

Mar 30, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jeanne E Martin, DMD

  • General Practice Dentistry
  • Corbin, KY
  • NPI 1619248994
  NPD (past) Authorized official

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1821118035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 MASTER ST",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407011054",
            "telephone_number": "606-528-3540",
            "fax_number": "606-528-0424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 MASTER ST",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407011054",
            "telephone_number": "606-528-3540",
            "fax_number": "606-528-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JEANNE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "7180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60071800",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia L Marlowe, MA
• John Marr
• Amanda Marrs
• Martin Case Management
• Hunter McCain Martin I, BS
• Jonathan Martin, M.D.
• Megan Martin
• Summer Martin
• Tamara Lynn Martin
• Vonda Martin

• General Practice Dentistry in Corbin, KY
• Providers in Corbin, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.