Raymond K Martin DDS Magd PC Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15885 Issued in MA

Legal business name

RAYMOND K MARTIN DDS MAGD PC INC.

Practice address

200 Chauncy St
Suite 212
Mansfield, MA 02048

Phone

(508) 337-8555

Fax

(508) 337-6862

NPI assigned

Jul 2, 2009

Organization subpart

No

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

Authorized official

Name

Raymond K MartinNPI 1700869641

Title

Owner

Phone

(508) 337-8555

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Raymond Kirk Martin, D.D.S.,M.A.G.D.

  • General Practice Dentistry
  • Mansfield, MA
  • NPI 1700869641
  NPD (past) Authorized official

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

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246492800000",
    "number": "1992934665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CHAUNCY ST",
            "address_2": "SUITE 212",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "02048",
            "telephone_number": "508-337-8555",
            "fax_number": "508-337-6862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CHAUNCY ST",
            "address_2": "SUITE 212",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "02048",
            "telephone_number": "508-337-8555",
            "fax_number": "508-337-6862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND K MARTIN DDS MAGD PC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-02",
        "last_updated": "2009-07-02",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-337-8555"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "15885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Rainey, LMT
• Soumya Reddy Rajupet
• Feyisetan Rebecca Ramey, DNP, APRN, PMHNP
• Jossana Rasla, DMD
• Shivantika Rastogi
• Raymond Paul-Blanc, MD, PC
• Zachary S Rega-Oliveira, DNP, APRN-BC
• Karina Deandrade Reidy
• Renewal Counseling
• Resilient Minds Psychiatry PLLC

• General Practice Dentistry in Mansfield, MA
• Providers in Mansfield, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2009; 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.