DR. CRYSTAL MARTIN (NPI# 1396758793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396758793 |
| Entity Type | Individual |
| Full Name | DR. CRYSTAL MARTIN |
| Credential | D.D.S. |
| Practice Address |
277 Clarkson Rd, Ste 100 Ellisville MO 63011 |
| Practice Telephone | 6362270507 |
| Practice Fax Number | 6365910032 |
| Mailing Telephone | 6362270507 |
| Mailing Fax Number | 6365910032 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2016-01-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
15403 | MO | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891225629 | Crystal Charlene Martin | Community Health Worker | Po Box 130, Dillingham, AK 99576-0130 | 2017-06-14 |
| 1669808630 | Crystal Janiece Martin | Registered Nurse | 353 Claymore Blvd, Richmond Heights, OH 44143 | 2013-09-22 |
| 1902157837 | Crystal Marie Martin | Counselor | 25 S Monroe St Ste 205, Monroe, MI 48161-2469 | 2012-10-02 |
| 1801059332 | Crystal Denise Martin | Family Medicine | 1401 Harrodsburg Rd Ste B160, Lexington, KY 40504-1726 | 2008-07-03 |
| 1396754313 | Crystal Martin | Chiropractor | 9144 Burnett Rd Se, Suite B1 and B2, Yelm, WA 98597-8488 | 2006-08-07 |
| 1497268288 | Crystal L Martin | Counselor | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2017-11-15 |
| 1811408776 | Crystal Martin | Behavioral Analyst | 170 S Green Valley Pkwy, Henderson, NV 89012-3132 | 2017-10-18 |
| 1154831444 | Crystal Martin | Counselor | 2198 Cayuga Ave, San Francisco, CA 94112-4023 | 2017-10-02 |
| 1619332863 | Crystal Domynique Martin | Counselor | 2009 N Conway Ave, Mission, TX 78572-2965 | 2015-12-15 |
| 1346668258 | Crystal A Martin | Family Medicine | 1806 W Lincoln Ave, Yakima, WA 98902-2473 | 2014-03-29 |
| Street Address |
277 CLARKSON RD, STE 100 |
| City | ELLISVILLE |
| State | MO |
| Zip Code | 63011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205309234 | Heather Renee Leone | Nurse Practitioner | 452 Sovereign Court Suite A, Ballwin, MO 63011 | 2019-01-02 |
| 1538635297 | Jennifer Lea Nicole O'donnell | Registered Nurse | 13861 Manchester Road, Town and Country, MO 63011 | 2018-10-22 |
| 1285127712 | Genevieve Friedmann | Social Worker | 301 Sovereign Ct Ste 103, Ballwin, MO 63011 | 2018-06-09 |
| 1881187391 | Andrew Cittadino Link | Dentist | 14335 Manchester Road, Ballwin, MO 63011 | 2018-06-08 |
| 1972041283 | Anavan LLC | Durable Medical Equipment & Medical Supplies | 14390 Manchester Rd, Saint Louis, MO 63011 | 2017-02-07 |
| 1780131300 | Autism and Behavioral Spectrum LLC | Day Training, Developmentally Disabled Services | 14733 Clayton Road, Chesterfield, MO 63011 | 2016-09-01 |
| 1265872964 | Eryn Nichole Miner | Behavioral Analyst | 15834 Clayton Road, Ellisville, MO 63011 | 2013-06-27 |
| 1194168765 | Donna Margaret Carrillo | Developmental Therapist | 15834 Clayton Rd., Ellisville, MO 63011 | 2013-04-12 |
| 1891047486 | Ashley Amanda Battaglia | Chiropractor | 15945 Clayton Rd Ste 230c, Ballwin, MO 63011 | 2012-10-08 |
| 1750658480 | Gary Frank Sobocinski | Pharmacist | 4033 Sovereign Court, Ballwin, MO 63011 | 2011-11-23 |
| Find all providers in zip 63011 | ||||
| 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 |
|---|---|---|---|---|
| 1013386598 | 16111 Manchester Road, L.L.C. | Dentist | 428 Old State Rd., Ellisville, MO 63021 | 2015-09-15 |
| 1972851814 | Dental Group of Ellisville, Pllc | Dentist | 97 Hal Crocker Road, Ellisville, MS 39437 | 2012-08-27 |
| 1114289394 | Alecia A Moore | Dentist | 97 Hal Crocker Rd, Ellisville, MS 39437-2088 | 2012-06-13 |
| 1578694709 | Bernard David Wilken | Dentist | 265 Clarkson Rd, Ellisville, MO 63011-2219 | 2007-03-08 |
| 1346399953 | Stephen L Surber | Dentist | 401 Highway 11 S, Ellisville, MS 39437-3103 | 2007-01-10 |
| 1760549380 | Michael P Frith Dds | Dentist | 269 Clarkson Rd, Ellisville, MO 63011-2219 | 2007-01-02 |
| 1518028703 | Andrew G. Mitchell, Inc. | Dentist | 15991 Manchester Rd, Ellisville, MO 63011-2140 | 2006-12-12 |
| 1639244700 | Frederick Alan Karwas | Dentist | 184 Clarkson Rd, Ellisville, MO 63011-2244 | 2006-11-22 |
| 1184720252 | Gilbert R. Hart | Dentist | 428 Old State Rd, Ellisville, MO 63021-5918 | 2006-09-16 |
| 1992235899 | Megan Michelle Wolf | Dentist | 12 Hutchinson Rd, Ellisville, MO 63011-5702 | 2017-06-14 |
| Find all providers in ELLISVILLE | ||||
| City | ELLISVILLE |
| Zip Code | 63011 |
Please comment or provide details below to improve the information on DR. CRYSTAL MARTIN.
| 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.