NPIMap

Organization Active NPI

Wayne T. Martin, DDS, PC

  • General Practice Dentistry
  • Gulf Shores, AL
National Provider Identifier
1902232002
Registry record updated Sep 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4241 Issued in AL
Legal business name
WAYNE T. MARTIN, DDS, PC
Practice address
245 Clubhouse Dr
Gulf Shores, AL 36542-3415
Phone
(251) 968-4446
Fax
(251) 968-6316
NPI assigned
Sep 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2013

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

Authorized official

Name
Wayne T Martin, DDSNPI 1912008673
Title
Owner
Phone
(251) 968-4446

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4241 AL Primary

Addresses

Primary practice location

245 Clubhouse Dr
Gulf Shores, AL 36542-3415

Mailing address

PO Box 3369
Gulf Shores, AL 36547-3369
Phone (251) 968-4446

National Provider Directory

National Provider Directory

Locations

245 Clubhouse Dr
Gulf Shores, AL 36542
Phone (251) 616-7161

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1379635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379635200000",
    "number": "1902232002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3369",
            "city": "GULF SHORES",
            "state": "AL",
            "postal_code": "365473369",
            "telephone_number": "251-968-4446",
            "fax_number": "251-968-6316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 CLUBHOUSE DR",
            "city": "GULF SHORES",
            "state": "AL",
            "postal_code": "365423415",
            "telephone_number": "251-968-4446",
            "fax_number": "251-968-6316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE T. MARTIN, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-20",
        "last_updated": "2013-09-20",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-968-4446",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "4241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulf Shores, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2013; 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.