NPIMap

Organization Active NPI

John C. Martin D.M.D., M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Augusta, GA
National Provider Identifier
1831236611
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
008367 Issued in GA
Legal business name
JOHN C. MARTIN D.M.D., M.S.
Practice address
210 Robert C Daniel Jr Pkwy
Suite G
Augusta, GA 30909-0806
Phone
(706) 738-8898
Fax
(706) 738-0035
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
John C Martin, D.M.D., M.S.
Title
Orthodontist
Phone
(706) 738-8898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 008367 GA Primary

Addresses

Primary practice location

210 Robert C Daniel Jr Pkwy
Suite G
Augusta, GA 30909-0806

Mailing address

210 Robert C Daniel Jr Pkwy
Suite G
Augusta, GA 30909-0806
Phone (706) 738-8898

Other names 1

  • North Georgia Orthodontics Other name

National Provider Directory

National Provider Directory
Tax ID family
John C Martin DMD Ms5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

210 Robert C Daniel Jr Pkwy
Ste G
Augusta, GA 30909
Phone (206) 446-7978

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": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831236611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 ROBERT C DANIEL JR PKWY",
            "address_2": "SUITE G",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309090806",
            "telephone_number": "706-738-8898",
            "fax_number": "706-738-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 ROBERT C DANIEL JR PKWY",
            "address_2": "SUITE G",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309090806",
            "telephone_number": "706-738-8898",
            "fax_number": "706-738-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN C. MARTIN D.M.D., M.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "706-738-8898",
        "authorized_official_credential": "D.M.D., M.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "GA",
            "license": "008367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Georgia Orthodontics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.