Corey Martinez DDS LLC

Primary specialty

DentistTaxonomy code 122300000X

License

12012410A Issued in IN

Legal business name

COREY MARTINEZ DDS LLC

Doing business as

Brush Dental

Practice address

278 Manchester Ave
Wabash, IN 46992

Phone

(260) 563-4065

NPI assigned

Jan 26, 2017

Last updated

Jan 26, 2017By 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

Dr. Corey D Martinez, DDS

Title

Dentist/ Owner

Phone

(260) 563-4065

Specialties & licenses 1

Addresses

Other names 1

• Brush Dental Doing business as

Locations

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

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485388800000",
    "number": "1992242085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "278 MANCHESTER AVE",
            "city": "WABASH",
            "state": "IN",
            "postal_code": "46992",
            "telephone_number": "260-563-4065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "278 MANCHESTER AVE",
            "city": "WABASH",
            "state": "IN",
            "postal_code": "46992",
            "telephone_number": "260-563-4065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COREY MARTINEZ DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-26",
        "last_updated": "2017-01-26",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "COREY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DENTIST/ OWNER",
        "authorized_official_telephone_number": "260-563-4065",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12012410A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brush Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John David Conner, D.D.S.
• Brittany Connor, MA CCC-SLP
• Jennie Conrad, LMHC, NCC
• Brian Cooper
• Sonya Copley, SLP-CCC
• Ashley Corn, MA
• Sean Michael Coumbes
• Benjamin Joseph Cramer, LMHC
• Lois Marian Crandall, CCC-SLP
• Wayne Crowder, MS

• Dentist in Wabash, IN
• Providers in Wabash, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; 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.