Martin Smallidge, DMD

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

DS040045 Issued in PA

Practice address

3145 Garden Ave
Fort Sam Houston, TX 78234-7718

Phone

(210) 808-3737

NPI assigned

Aug 1, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1406851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1992113062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 CONNELL RD",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782347664",
            "telephone_number": "210-466-5597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3145 GARDEN AVE",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782347718",
            "telephone_number": "210-808-3737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2450 Connell Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Sam Houston",
            "state": "TX",
            "postal_code": "782347664",
            "country_code": "US",
            "telephone_number": "210-466-5597",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMALLIDGE",
        "first_name": "MARTIN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-01",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS040045",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "PA",
            "license": "DS040045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janell Skeete, LCSW
• Timothy Marc Skinner, DPT
• Justin Jay Sleeter, MD
• Angela Erna Slitzer, R.D. L.D
• Robert Wesselhoeft Smalley
• Brandon Smith, PH.D.
• Erricka Smith, IDMT
• Jennifer Marie Smith, D.O.
• Jerrell F Smith, PH.D.
• Linda Colleen Dunn Smith, D.O., MPH, MPH&TM

• Prosthodontics in Fort Sam Houston, TX
• Providers in Fort Sam Houston, TX by specialty
• Prosthodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; 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.