Docmartin'S PLLC

Key facts

NPI

1881817187

Entity type

Organization (NPI type 2)

Primary specialty

Primary Care Clinic/Center 261QP2300X

License

107386 (MO)

Legal business name

DOCMARTIN'S PLLC

Practice address

70 Jungermann Cir
Suite 201
Saint Peters, MO 63376-1622

Phone

(636) 916-9525

NPI assigned

Apr 11, 2007

Organization subpart

No

Authorized official

Name

Dr. Kevin Joseph Martin, D.O.

Title

Physician

Phone

(636) 916-9525

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881817187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 JUNGERMANN CIR",
            "address_2": "SUITE 201",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761622",
            "telephone_number": "636-916-9525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 JUNGERMANN CIR",
            "address_2": "SUITE 201",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761622",
            "telephone_number": "636-916-9525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCMARTIN'S PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "636-916-9525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MO",
            "license": "107386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peters, MO

• Dierbergs Markets Inc
• Dierbergs Markets Inc
• Digestive Disorder Center of St. Charles County, Inc
• James W Dimitroff, MD
• Susan Elizabeth Dobrinic, MHS CCC-SLP
• Perry Dodge, L.P.C.
• Kenyota Dokes, MA., LPC
• Alla Dorfman, MD
• Jarrod A Dornfeld, MD
• Katherine A Dorwart, MA, LPC

All providers in Saint Peters, MO · Primary Care Clinic/Center in Missouri