SHAWN MARTIN


Address: 829 Chief Eddie Hoffman Hwy, Bethel, AK 99559
Phone: 9075436000

SHAWN MARTIN (NPI# 1740674472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740674472
Entity Type Individual
Full Name SHAWN MARTIN
Credential DHAT
Practice Address 829 Chief Eddie Hoffman Hwy
Bethel
AK 99559
Mailing Address Po Box 528
Bethel
AK 99559-0528
Practice Telephone 9075436000
Mailing Telephone 9075436000
Enumeration Date 2015-03-19
Last Update Date 2015-03-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 125J00000X Dental Therapist 15-123-DHAT AK Dental Providers

Other Providers SHAWN MARTIN

NPI Name Taxonomy Address Enumeration
1588925879 Shawn A Martin Counselor 1031 W Sanetta St, Nampa, ID 83651-5047 2012-06-03
1164634994 Shawn Sitka Martin Marriage & Family Therapist Vet Center, 251 N Water St, Wichita, KS 67202-1292 2007-05-04
1609904937 Shawn Patrick Martin Chiropractor 138 Evergreen Rd, Ste 102, Louisville, KY 40243-1410 2007-02-28

Office Location

Street Address 829 CHIEF EDDIE HOFFMAN HWY
City BETHEL
State AK
Zip Code 99559

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679542484 Peter Robert Hergenroether Counselor 829 Chief Eddie Hoffman Hwy, Bethel, AK 99559 2006-03-15
1376142174 Thomasina Tishina Smith Community Health Worker 829 Chief Eddie Hoffman Hwy, Bethel, AK 99559-0528 2020-10-22
1508478751 Moses K Ayagalria Jr. Counselor 829 Chief Eddie Hoffman Hwy, Suite 150, Bethel, AK 99559-0528 2020-08-19
1720699044 Reanna Jimmy Community Health Worker 829 Chief Eddie Hoffman Hwy, Bethel, AK 99559-0528 2020-08-11
1891306387 David Mochin Counselor 829 Chief Eddie Hoffman Hwy, Suite 150, Bethel, AK 99559-0528 2020-08-10
1396355053 Lucy Ann Mochin Counselor 829 Chief Eddie Hoffman Hwy, Bethel, AK 99559-0528 2020-08-06
1467074518 Tawanda Moses Case Manager/Care Coordinator 829 Chief Eddie Hoffman Hwy, Bethel, AK 99559 2020-05-12
1922635101 Alice Lucy Leinberger Case Manager/Care Coordinator 829 Chief Eddie Hoffman Hwy, Suite 327, Bethel, AK 99559-0528 2020-03-26
1700413663 Erica Kameroff Community Health Worker 829 Chief Eddie Hoffman Hwy, Suite 150, Bethel, AK 99559-0528 2020-03-23
1386283356 D'angela Yvette Nickerson Counselor 829 Chief Eddie Hoffman Hwy, Suite 150, Bethel, AK 99559-0528 2019-12-23
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194337519 Michael P Nicolai Case Manager/Care Coordinator 829 Chief Eddie Hoffman Hey, Bethel, AK 99559 2020-08-18
1003438508 Enc Physical Therapy LLC Physical Therapist 223 Blackberry Street, Unit A, Bethel, AK 99559 2020-05-07
1780229609 Laline Knox Massage Therapist 107 Alex Hatley Ste 1, Bethel, AK 99559 2019-11-14
1659920502 Ana Celina Sebastian Counselor 1380 Calista Dr, Bethel, AK 99559 2019-09-04
1639730484 Jerri Linda Moran-gentle Massage Therapist 430 A 7th Ave, Bethel, AK 99559 2019-06-24
1528625381 Jennifer Peeks Social Worker 631 4th Ave. & Main St., Bethel, AK 99559 2019-05-28
1710451190 Mary Theresa Thibeault Registered Nurse Bethel Public Health Center, 1490 Eddie Hoffman Highway, Bethel, AK 99559 2019-01-18
1659846210 Freda Lizann Jimmie Counselor 829 Eddie Hoffman Highway, Bethel, AK 99559 2018-10-10
1073093977 Romeo Mullai Counselor 1630 Calista Drive, Bethel, AK 99559 2018-08-20
1235623794 Brian Justin Moses Day Training/Habilitation Specialist 841 Chief Eddie Hoffman Highway, Bethel, AK 99559 2018-06-19
Find all providers in zip 99559

Taxonomy Information

Taxonomy Code 125J00000X
Grouping Dental Providers
Classification Dental Therapist

Taxonomy Definition

A Dental Therapist is an individual who has completed an accredited or non-accredited dental therapy program and who has been authorized by the relevant state board or a tribal entity to provide services within the scope of their practice under the supervision of a dentist. Functions that may be delegated to the dental therapist vary based on the needs of the dentist, the educational preparation of the dental therapist and state dental practice acts and regulations.
Notes: Source: Summarized from Minnesota Statute 150A.105. [7/1/2012: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326654245 Kathrine G.d.a Levi Dental Therapist 700 Chief Eddie Hoffman Hwy, Bethel, AK 99559 2020-09-16
1790320513 Ruby Okitkun Dental Therapist 700 Chief Eddie Hoffman Hwy, Bethel, AK 99559 2019-11-15
1831646447 Sadie M Green Dental Therapist 528 Chief Eddie Hoffman Hwy, Bethel, AK 99559-0304 2016-09-01
1629455183 Renee Mae Rose Cheemuk Dental Therapist 900 Chief Eddie Hoffman Hwy, Bethel, AK 99559-0528 2015-05-04
1134512676 Angelica Afcan Dental Therapist 829 Chief Eddie Hoffman Highway, Bethel, AK 99559 2015-03-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1083251607 Tamija Katrice Woods Dental Therapist 4519 E 4th Ave, Anchorage, AK 99508-2216 2019-12-02
1538541693 Amanda Miles Dental Therapist 3449 E. Rezanof Drive, Dental Department, Kodiak, AK 99615-3449 2015-06-25
1205236692 Kimberly Baldwin Dental Therapist 436 5th Ave Ted Stevens Way, Kotzebue, AK 99752 2014-09-04
1205265345 Cora Roberts Dental Therapist 201 3rd Avenue, Suite 115, Seward, AK 99664 2013-11-08
1336783075 Allison Kristi Wasuli Dental Therapist 733 2nd Avenue, Kotzebue, AK 99752 2019-11-06
1922579143 Janette Carmen Ulak Dental Therapist 49 Airport Rd, Hooper Bay Clinic, Hooper Bay, AK 99604 2018-12-16
1609345677 Samantha Sparks Dental Therapist 222 Tongass Dr, Sitka, AK 99835-9416 2018-11-19
1134696156 Shonna Wheeler Dental Therapist 100 Slocum Drive, King Cove, AK 99612 2018-10-29
1881160570 Leandra Beech Dental Therapist 1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083 2018-10-19
1275075244 Summer Michele Lynch Dental Therapist 216 Dalton Street, Suite 102, Haines, AK 99827 2016-11-08
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Competitor

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City BETHEL
Zip Code 99559

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Dataset Information

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.

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