W Eric Martin DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

060007408 Issued in IL

Legal business name

W ERIC MARTIN DDS PC

Practice address

403 Windsor Rd
Champaign, IL 61820

Phone

(217) 355-9997

NPI assigned

Apr 12, 2016

Organization subpart

No

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

Authorized official

Name

Joy S Martin

Title

Corporate Secretary

Phone

(217) 355-9997

Specialties & licenses 1

Addresses

Tax ID family

W Eric Martin DDS PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• W. Eric Martin, D.D.S., P.C.

  • General Practice Dentistry
  • Savoy, IL
  • NPI 1760471205
  NPD tax ID

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460419200000",
    "number": "1891159299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 E WINDSOR RD",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618207722",
            "telephone_number": "217-355-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 WINDSOR RD",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "61820",
            "telephone_number": "217-355-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W ERIC MARTIN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-12",
        "last_updated": "2016-04-12",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JOY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CORPORATE SECRETARY",
        "authorized_official_telephone_number": "217-355-9997"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "060007408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos Lee Villanueva
• Tramy Vo
• Anisa Voelkel, RBT
• Michaela Vogel, RBT
• James Henry Vohs, D.D.S.
• Jamie Wachtel, LCPC
• Haleigh D Wadsworth, APN
• Janel Christine Wager, LCPC
• Elizabeth Wagner, LCPC ATR-BC
• Lauren Wagoner, PHARMD

• General Practice Dentistry in Champaign, IL
• Providers in Champaign, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; 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.