DR. DEREK L. MARTIN (NPI# 1235317041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235317041 |
| Entity Type | Individual |
| Full Name | DR. DEREK L. MARTIN |
| Credential | D.M.D. |
| Practice Address |
1833 Goldenrod Ln Vista CA 92081-5342 |
| Practice Telephone | 4802094567 |
| Mailing Telephone | 4802094567 |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2008-02-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
56761 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467576884 | Derek Abel Martin | Chiropractor | 13843 Hwy 105 West, Suite 105, Conroe, TX 77304 | 2007-03-19 |
| 1881236875 | Derek Vincent Martin | Behavioral Analyst | 410 N Prince St, Lancaster, PA 17603-3010 | 2019-10-11 |
| 1548795271 | Derek Martin | Nurse Anesthetist, Certified Registered | 333 Smith Ave N, Saint Paul, MN 55102-2344 | 2017-05-01 |
| 1952662132 | Derek Michael Martin | Dentist | 1259 Hyde Park Ave, Hyde Park, MA 02136-2817 | 2012-06-04 |
| Street Address |
1833 GOLDENROD LN |
| City | VISTA |
| State | CA |
| Zip Code | 92081-5342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548896202 | Maritza Mercado | Behavior Technician | 1926 Civic Center Dr Suite B, Vista, CA 92081 | 2020-03-13 |
| 1417599267 | Cherelle Artise Lewis | Behavior Technician | 1926 Via Centre Drive, Suite B, Vista, CA 92081 | 2019-10-14 |
| 1194101295 | Mary Stewart | Physical Therapist | 1515 S Melrose Dr, Vista, CA 92081 | 2015-07-31 |
| 1184069122 | Houri Fatourachi, Dds Inc | Dentist | 2325 S Melrose Dr., Vista, CA 92081 | 2013-05-03 |
| 1821377037 | Mori Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 2320 La Mirada Dr, Vista, CA 92081 | 2011-08-05 |
| 1497068563 | Gerald Francis Moore | Dentist | 610 S. Melrose Dr, Vista, CA 92081 | 2010-07-19 |
| 1316274749 | Mahtab Saadatmandi | Dentist | 2311 S. Melrose Dr., Vista, CA 92081 | 2009-11-05 |
| 1760650808 | Edward George Dougherty | Occupational Therapy Assistant | 1579 Wellington Lane, 51, Vista, CA 92081 | 2008-02-12 |
| 1831398676 | Longs Drug Stores California LLC | Pharmacy | 635 S Melrose Dr, Vista, CA 92081 | 2007-07-12 |
| 1346462231 | Houri Fatourachi | Dentist | 2325 South Melrose Drive, Vista, CA 92081 | 2007-05-02 |
| Find all providers in zip 92081 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558987487 | Ivana Racic | Dentist | 35 Main St Ste C130, Vista, CA 92083-5858 | 2020-06-16 |
| 1437618154 | Tri-city Dental Excellence | Dentist | 326 S Melrose Dr Ste 101, Vista, CA 92081-6618 | 2019-03-13 |
| 1205215613 | Sycamore Dental Associates | Dentist | 906 Sycamore Ave Ste 200, Vista, CA 92081-7851 | 2015-05-19 |
| 1700169323 | Melrose Square Dental Office | Dentist | 1680 S Melrose Dr Ste 108, Vista, CA 92081-5472 | 2011-09-20 |
| 1548587363 | Scott Eugene Krause | Dentist | 1001 E Vista Way, Suite 2, Vista, CA 92084-4603 | 2010-05-03 |
| 1316274749 | Mahtab Saadatmandi | Dentist | 2311 S. Melrose Dr., Vista, CA 92081 | 2009-11-05 |
| 1568629640 | Brenda Y Arao | Dentist | 1970 E Vista Way, Suite 202, Vista, CA 92084-3301 | 2008-05-17 |
| 1376715045 | Steve Michael Nave | Dentist | 933 A Vale Terrace Drive, Vista, CA 92084 | 2008-04-02 |
| 1659555076 | David Max Fellars | Dentist | 1000 E Vista Way, Vista, CA 92084-4602 | 2007-12-20 |
| 1508053323 | George R Braithwaite | Dentist | 630 Alta Vista Dr, #108, Vista, CA 92084-5504 | 2007-09-25 |
| Find all providers in VISTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.