Individual provider Active NPI

Gerald Lee Martincich, D.D.S.

  • General Practice Dentistry
  • Prairie Village, KS
National Provider Identifier
1871541755
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4952 Issued in KS
Practice address
7301 Mission Rd
#233
Prairie Village, KS 66208-3006
Phone
(913) 648-6486
Fax
(913) 648-3875
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4952 KS Primary

Addresses

Primary practice location

7301 Mission Rd
#233
Prairie Village, KS 66208-3006

Mailing address

7301 Mission Rd
#233
Prairie Village, KS 66208-3006
Phone (913) 648-6486

Other names 1

  • Jerry Martincich Professional name

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

LicenseStateTypeSpecialty
4952KSMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1871541755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 MISSION RD",
            "address_2": "#233",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662083006",
            "telephone_number": "913-648-6486",
            "fax_number": "913-648-3875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 MISSION RD",
            "address_2": "#233",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662083006",
            "telephone_number": "913-648-6486",
            "fax_number": "913-648-3875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINCICH",
        "first_name": "GERALD",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "4952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JERRY",
            "last_name": "MARTINCICH",
            "credential": "D.D.S,,  P.A.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Prairie Village, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.