KELLY MARTIN (NPI# 1740656966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740656966 |
| Entity Type | Individual |
| Full Name | KELLY MARTIN |
| Practice Address |
100 Old Cherokee Rd Suite F, Pmb 14 Lexington SC 29072-9316 |
| Practice Telephone | 8038082304 |
| Mailing Telephone | 8038082304 |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2015-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 2601 | SC | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578100111 | Kelly Martin | Speech-Language Pathologist | 948 Dinosaur Dr, Erie, CO 80516-6576 | 2019-12-02 |
| 1386298677 | Kelly Marie Martin | Licensed Practical Nurse | 909 S Michael St, Saint Marys, PA 15857-3030 | 2019-07-25 |
| 1477117885 | Kelly Rae Martin | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13881 Schuelke Beach Rd Nw, Miltona, MN 56354 | 2019-05-01 |
| 1679098727 | Kelly Lynn Martin | Massage Therapist | 6537 Fairlane Dr, Boston, NY 14025-9637 | 2017-08-10 |
| 1891231379 | Kelly Martin | Speech-Language Pathologist | 3513 Indian Oaks Ln, Toledo, OH 43617-3007 | 2017-01-09 |
| 1376900654 | Kelly Ann Martin | Counselor | 5501 Pandale Valley Dr, Mckinney, TX 75071-7721 | 2016-01-18 |
| 1245616481 | Kelly A Martin | Counselor | 8180 Eagle Mountain Cir, Fort Worth, TX 76135-9531 | 2015-08-10 |
| 1316330178 | Kelly Martin | Rehabilitation Practitioner | 12111 N 66th Ave, Glendale, AZ 85304-1625 | 2015-03-17 |
| 1538563077 | Kelly Ann Martin | Counselor | 15208 County Road 1835, Lubbock, TX 79424-8520 | 2014-10-13 |
| 1124430764 | Kelly Michael Martin | Registered Nurse | 1001 S. Gearge St, York, PA 17403 | 2014-06-02 |
| Street Address |
100 OLD CHEROKEE RD SUITE F, PMB 14 |
| City | LEXINGTON |
| State | SC |
| Zip Code | 29072-9316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336105527 | Health Promotion Specialists | Dental Hygienist | 100 Old Cherokee Rd, Suite F, Box 14, Lexington, SC 29072-7959 | 2006-04-25 |
| 1831634492 | Margaret Lauren Summers | Dental Hygienist | 100 Old Cherokee Rd, Suite F Pmb 14, Lexington, SC 29072-9316 | 2017-01-05 |
| 1205212891 | Kelly Bidwell | Dental Hygienist | 100 Old Cherokee Rd, Suite F Pmb 14, Lexington, SC 29072-9316 | 2015-08-05 |
| 1285020131 | Anna Wright | Dental Hygienist | 100 Old Cherokee Rd, Suite F Pmb 14, Lexington, SC 29072-9316 | 2015-04-07 |
| 1851792659 | Justine Brannock | Pharmacist | 100 Old Cherokee Rd, Lexington, SC 29072-9316 | 2014-09-11 |
| 1679973945 | Katherine Butler | Pharmacist | 100 Old Cherokee Rd, Lexington, SC 29072-9316 | 2014-08-24 |
| 1659705127 | Rebecca Cooper Bragdon | Speech-Language Pathologist | 100 Old Cherokee Rd, Suite F, Lexington, SC 29072-9316 | 2013-09-02 |
| 1760814966 | Kayla Drake | Occupational Therapy Assistant | 100 Old Cherokee Rd, Suite F, Box 172, Lexington, SC 29072-9316 | 2013-07-30 |
| 1992040687 | Charles Edward Mims Sr. | Pharmacist | 100 Old Cherokee Rd, Lexington, SC 29072-9316 | 2012-12-06 |
| 1003151812 | Sheila Allen Young | Pharmacist | 100 Old Cherokee Rd, Lexington, SC 29072-9316 | 2012-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700484821 | Grace Physicians Services | Clinic/Center | 1483 Old Cherokee Road, Lexington, SC 29072 | 2020-10-12 |
| 1750995007 | Trinity Health and Wellness | Clinic/Center | 1483 Old Cherokee Rd, Lexington, SC 29072 | 2020-09-03 |
| 1730727629 | Erika Watts | Occupational Therapist | 100 Tarrar Springs Road, Sped, Lexington, SC 29072 | 2019-12-11 |
| 1194380600 | Lexington County Health Services District, Inc. | Clinic/Center | 154 Saluda Pointe Ct, Lexington, SC 29072 | 2019-05-09 |
| 1962973768 | William R. Key | Counselor | Lexington Community Mental Health Center, 301 Palmetto Park Boulevard, Lexington, SC 29072 | 2018-12-06 |
| 1639651961 | Lindsey Terry | Social Worker | 108 Palmetto Pk. Boulveard, Suite D, Lexington, SC 29072 | 2018-09-04 |
| 1922594126 | Dental Professional of South Carolina, P.C. | Dentist | 2448 Augusta Hwy, Lexington, SC 29072 | 2018-07-11 |
| 1598251605 | Lynn Marceline Beckett-lowe | Nurse Practitioner | 124 Pink Camellia Lane, Lexington, SC 29072 | 2018-07-02 |
| 1083120620 | Diana Reiss | Counselor | 714 S Lake Drive, 120, Lexington, SC 29072 | 2017-12-19 |
| 1649781857 | Constance Jean Lynch | Occupational Therapist | 800 North Lake Boulevard, Lexington, SC 29072 | 2017-10-14 |
| Find all providers in zip 29072 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396237863 | Maegen Mone Taylor | Dental Hygienist | 547 S Business Highway 13, Lexington, MO 64067 | 2018-05-31 |
| 1083014039 | Jennifer Lasseter | Dental Hygienist | 115 Maxie Rd, Lexington, SC 29072-7618 | 2014-08-27 |
| 1629320296 | Lindsey Jordan Hall | Dental Hygienist | 811- A South 13 Highway, Lexington, MO 64067 | 2012-10-08 |
| 1811290513 | Michelle Marie Hanke | Dental Hygienist | 4393 Jasmine Rose Way, Lexington, KY 40515-6351 | 2010-12-19 |
| 1003023128 | Theresa Dowdy | Dental Hygienist | 100 Old Cherokee Road, Suite F, Box 14, Lexington, SC 29072 | 2007-05-17 |
| 1336105527 | Health Promotion Specialists | Dental Hygienist | 100 Old Cherokee Rd, Suite F, Box 14, Lexington, SC 29072-7959 | 2006-04-25 |
| 1720604630 | Shanda Jacobson | Dental Hygienist | 3111 Wall St, Lexington, KY 40513-9008 | 2020-06-17 |
| 1831634492 | Margaret Lauren Summers | Dental Hygienist | 100 Old Cherokee Rd, Suite F Pmb 14, Lexington, SC 29072-9316 | 2017-01-05 |
| 1205212891 | Kelly Bidwell | Dental Hygienist | 100 Old Cherokee Rd, Suite F Pmb 14, Lexington, SC 29072-9316 | 2015-08-05 |
| 1285020131 | Anna Wright | Dental Hygienist | 100 Old Cherokee Rd, Suite F Pmb 14, Lexington, SC 29072-9316 | 2015-04-07 |
| Find all providers in LEXINGTON | ||||
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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.