NPIMap

Organization Active NPI

Robert S. Martin, D.M.D., P.a.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Gambrills, MD
National Provider Identifier
1881002053
Registry record updated Jul 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
5401 Issued in MD
Legal business name
ROBERT S. MARTIN, D.M.D., P.A.
Practice address
2410 Evergreen Rd
Suite 101
Gambrills, MD 21054-1848
Phone
(410) 721-3403
NPI assigned
Jul 31, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2014

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

Authorized official

Name
Dr. Robert Stephen Martin, DMD
Title
Owner
Phone
(410) 721-3403

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 5401 MD Primary

Addresses

Primary practice location

2410 Evergreen Rd
Suite 101
Gambrills, MD 21054-1848

Mailing address

2410 Evergreen Rd
Suite 101
Gambrills, MD 21054-1848
Phone (410) 721-3403

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406764800000",
    "number": "1881002053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 EVERGREEN RD",
            "address_2": "SUITE 101",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541848",
            "telephone_number": "410-721-3403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 EVERGREEN RD",
            "address_2": "SUITE 101",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541848",
            "telephone_number": "410-721-3403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT S. MARTIN, D.M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-31",
        "last_updated": "2014-07-31",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-721-3403",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MD",
            "license": "5401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gambrills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; 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.