Organization Active NPI

Dr. Robert Martino, PLLC

  • Dentist
  • Nutter Fort, WV
National Provider Identifier
1982067153
Registry record updated Apr 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3070 Issued in WV
Legal business name
DR. ROBERT MARTINO, PLLC
Practice address
1402 Buckhannon Pike
Suite a
Nutter Fort, WV 26301-4494
Phone
(304) 933-5300
Fax
(304) 933-3633
NPI assigned
Apr 4, 2016
Last updated
Apr 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2016

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

Authorized official

Name
Robert V Martino, DDS
Title
Owner
Phone
(304) 933-5300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 3070 WV Primary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 3963 WV

Addresses

Primary practice location

1402 Buckhannon Pike
Suite a
Nutter Fort, WV 26301-4494

Mailing address

2000 Industrial Rd E
Suite 200
Bridgeport, WV 26330-1297
Phone (304) 933-5300

National Provider Directory

National Provider Directory

Locations

2000 Industrial Rd E
Ste 200
Bridgeport, WV 26330
Phone (304) 933-5300

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459728000000",
    "number": "1982067153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 INDUSTRIAL RD E",
            "address_2": "SUITE 200",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263301297",
            "telephone_number": "304-933-5300",
            "fax_number": "304-933-3633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 BUCKHANNON PIKE",
            "address_2": "SUITE A",
            "city": "NUTTER FORT",
            "state": "WV",
            "postal_code": "263014494",
            "telephone_number": "304-933-5300",
            "fax_number": "304-933-3633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ROBERT MARTINO, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-04",
        "last_updated": "2016-04-04",
        "status": "A",
        "authorized_official_last_name": "MARTINO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-933-5300",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WV",
            "license": "3070",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WV",
            "license": "3963",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nutter Fort, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.