Jeneen M Martin DDS PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JENEEN M MARTIN DDS PC

Doing business as

Distinctive Dentistry

Practice address

821 Pyle Dr
Kingsford, MI 49802-4454

Phone

(906) 774-2505

NPI assigned

Feb 26, 2020

Last updated

Feb 26, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeneen M Martin, DDSNPI 1073596508

Title

Owner

Phone

(906) 774-2505

Specialties & licenses 1

Addresses

Other names 1

• Distinctive Dentistry Doing business as

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeneen M Martin, DDS

  • Dentist
  • Kingsford, MI
  • NPI 1073596508
  Authorized official Same address or phone

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582675200000",
    "number": "1902430275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 PYLE DR",
            "city": "KINGSFORD",
            "state": "MI",
            "postal_code": "498024454",
            "telephone_number": "906-774-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 PYLE DR",
            "city": "KINGSFORD",
            "state": "MI",
            "postal_code": "498024454",
            "telephone_number": "906-774-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENEEN M MARTIN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-26",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JENEEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "906-774-2505",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "dermartin@drjeneenmartin.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "dental",
            "address_1": "821 Pyle Dr",
            "city": "Kingsford",
            "state": "MI",
            "country_code": "US",
            "postal_code": "498024454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Distinctive Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chrislyn R Inglese
• Integrated First Response-Great Lakes
• International Air Charters, Inc.
• Iron Mountain Wellness Way LLC (The Wellness Way Iron Mountain)
• Claire Jauquet
• Barry Duane Johnson, M.D.
• Kathy Johnson, LBSW
• Paul Henry Johnson, MSW
• Jessica Ac Judy, NP-C
• Kirsten L Kaad, D.D.S.

• Dental Clinic/Center in Kingsford, MI
• Providers in Kingsford, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.