Active NPI
Taria Shamone Martin, DDS
- Dentist
- Dallas, TX
National Provider Identifier
1841358413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 19963
- Practice address
- 1243 E Red Bird LN
Dallas, TX 75241-2008 - Phone
- (214) 372-6062
- Fax
- (214) 372-9635
- NPI assigned
- Dec 5, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 19963 | TX | Primary |
Addresses
Primary practice location
1243 E Red Bird LN
Dallas, TX 75241-2008
Mailing address
2914 Lariat LN
Arlington, TX 76015-2520
Phone (214) 693-7958
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19963 | TX | MD | Skilled Nursing Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841358413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2914 LARIAT LN",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760152520",
"telephone_number": "214-693-7958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1243 E RED BIRD LN",
"city": "DALLAS",
"state": "TX",
"postal_code": "752412008",
"telephone_number": "214-372-6062",
"fax_number": "214-372-9635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "TARIA",
"middle_name": "SHAMONE",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "19963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.