Joel Robert Martin, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11727 Issued in TX

Practice address

500 W Pearl St
Granbury, TX 76048-2044

Phone

(817) 573-1141

Fax

(817) 573-3218

NPI assigned

Oct 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

• Granbury Park Dental GPS PLLC

  • Dental Clinic/Center
  • Granbury, TX
  • NPI 1598482275
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209513600000",
    "number": "1881775112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W PEARL ST",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760482044",
            "telephone_number": "817-573-1141",
            "fax_number": "817-573-3218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W PEARL ST",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760482044",
            "telephone_number": "817-573-1141",
            "fax_number": "817-573-3218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JOEL",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2008-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "11727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridget T Maldonado, FNP
• Corey J. Mark, M.D.
• Becky E Marquardt
• Steven Ryan Marsh, OTR
• Martin E McGonagle MD PA
• Haley Martinez, DC
• Anthony Mason, L.P.C.
• Jordan Leigh May, MA
• Craig Mayberry, RPH
• Tammy Romo Mayo, LVN

• General Practice Dentistry in Granbury, TX
• Providers in Granbury, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.