DR. STEPHEN MYCHAEL MARTIN (NPI# 1629508940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629508940 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN MYCHAEL MARTIN |
| Credential | DMD |
| Practice Address |
16739 Torrence Ave Lansing IL 60438-6018 |
| Mailing Address |
802 W 31st St Apt 2a Chicago IL 60608-5850 |
| Practice Telephone | 7084188899 |
| Mailing Telephone | 7083235654 |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
12012748A | IN | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
019.031196 | IL | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1738 165th St, Hammond, IN 463202821 | 2198448000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992298616 | Stephen R. Martin | Family Medicine | Upmc Horizon Surgical Associates, 26 Nesbit Road, Suite 151, New Castle, PA 16105 | 2018-06-07 |
| 1649623307 | Stephen Joseph Martin | Dentist | 1247 W Madison St, Unit 214, Chicago, IL 60607-0800 | 2016-07-18 |
| 1417302936 | Stephen Christopher Martin | Specialist | 13805 53rd Ave N Apt 6, United States, Plymouth, MN 55446-1897 | 2016-05-03 |
| 1790124626 | Stephen Chase Martin | Psychologist | 208 E 51st St # 138, New York, NY 10022-6557 | 2013-06-25 |
| 1093031726 | Stephen K Martin | Optometrist | 22 W. 7200 S., Midvale, UT 84047 | 2010-04-20 |
| 1144233297 | Stephen Kelly Martin | Clinical Neuropsychologist | 3800 Paluxy Dr, Suite 450, Tyler, TX 75703-1629 | 2006-08-13 |
| 1043247463 | Stephen Roger Martin | Ophthalmology | 707 S Western Rd, Stillwater, OK 74074-4126 | 2006-06-28 |
| 1619916202 | Stephen Douglas Martin | Physician Assistant | 1401 N Himes Ave, Tampa, FL 33607 | 2006-06-06 |
| 1427028810 | Stephen Martin | Family Medicine | 151 Worcester Road, Barre Family Health Center, Barre, MA 01005 | 2006-01-26 |
| 1376522250 | Stephen Howard Martin | Dentist | 8405 196th Sw, Edmonds, WA 98026 | 2006-01-10 |
| Street Address |
16739 TORRENCE AVE |
| City | LANSING |
| State | IL |
| Zip Code | 60438-6018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598050254 | D2 Dental of Lansing, P.C. | Dentist | 16739 Torrence Ave, Lansing, IL 60438-6018 | 2011-06-10 |
| 1710370283 | Emad Zaidi | Dentist | 16739 Torrence Ave, Lansing, IL 60438-6018 | 2015-03-09 |
| 1588926802 | Hyoseon Lee | Dentist | 16739 Torrence Ave, Lansing, IL 60438-6018 | 2012-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013429984 | Gentle Touch Healthcare Services | In Home Supportive Care | 18236 Ridgewood, Lansing, IL 60438 | 2017-10-31 |
| 1336658699 | Elizabeth M Cichocki | Speech-Language Pathologist | Memorial Jr. High School, 2721 Ridge Rd., Lansing, IL 60438 | 2017-09-29 |
| 1023527595 | Sue Hecht | Speech-Language Pathologist | 18300 Greenbay, Lansing, IL 60438 | 2017-09-27 |
| 1275960130 | Senegal Enterprises Medical, Inc | Durable Medical Equipment & Medical Supplies | 3330 181st Place, Suite 103, Lansing, IL 60438 | 2013-10-08 |
| 1295062404 | Dominion Home Health Care Inc. | Home Health | 2521 Ridge Road, Suite 4, Lansing, IL 60438 | 2009-11-09 |
| 1013076348 | Wayne M Mrjenovich Dds PC | Dentist | 19111 Burnham Ave, Lansing, IL 60438 | 2006-12-06 |
| 1124198247 | Jennifer Meyer | Counselor | 17041 Chicago Ave, Lansing, IL 60438 | 2006-11-08 |
| 1821171182 | Nurse Coordinators & Home Health | Home Health | 1955 Bernice Rd, Suite 1sw, Lansing, IL 60438 | 2006-10-23 |
| 1275633133 | Hoovers Home Health Inc | Durable Medical Equipment & Medical Supplies | 3326 Ridge Rd, Lansing, IL 60438 | 2006-09-22 |
| 1942307053 | Brant T Molenaar | Optometrist | 3546 Ridge Road, Lansing, IL 60438 | 2006-09-20 |
| Find all providers in zip 60438 | ||||
| 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 |
|---|---|---|---|---|
| 1326530114 | Nathan Jandernoa | Dentist | 2410 Lake Lansing Rd Ste 2, Lansing, MI 48912-3659 | 2018-06-06 |
| 1881005957 | Dental Dreams Pllc | Dentist | 6109 S Cedar St, Lansing, MI 48911-5714 | 2014-05-12 |
| 1558772632 | Shaheera Afzal | Dentist | 5139 W Saginaw Hwy, Lansing, MI 48917-2635 | 2014-05-12 |
| 1386919660 | Bettman & Bettman Family Dentistry | Dentist | 2909 E Grand River Ave Ste 212, Lansing, MI 48912-4335 | 2012-03-20 |
| 1699045906 | Gene Allen Keessen | Dentist | 3642 Lake St, Lansing, IL 60438-2471 | 2012-01-03 |
| 1598050254 | D2 Dental of Lansing, P.C. | Dentist | 16739 Torrence Ave, Lansing, IL 60438-6018 | 2011-06-10 |
| 1710154174 | Allcare Dental & Dentures of Mi PC | Dentist | 3020 E Saginaw St, Lansing, MI 48912-4746 | 2008-05-14 |
| 1841460227 | William Clare Robertson | Dentist | 4101 S Pennsylvania Ave, Lansing, MI 48910 | 2008-03-03 |
| 1730366931 | Weldon A Burchill | Dentist | 1515 W Mount Hope Ave, Suite 3, Lansing, MI 48910-2664 | 2008-01-30 |
| 1093927360 | Painless Dentistry Iv PC | Dentist | 1808 S Pennsylvania Avenue, Lansing, MI 48910 | 2007-05-07 |
| Find all providers in LANSING | ||||
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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.