DRS MARTIN & KIRK PLLC (NPI# 1881730844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881730844 |
Entity Type | Organization |
Organization Name | DRS MARTIN & KIRK PLLC |
Other Organization Name | TEAYS VALLEY PEDIATRIC DENTISTRY |
Practice Address |
3659 Teays Valley Road Suite 100 Hurricane WV 25526-9701 |
Mailing Address |
Po Box 581 Hurricane WV 25526-0581 |
Practice Telephone | 3042018500 |
Practice Fax Number | 3042018505 |
Mailing Telephone | 3042018500 |
Mailing Fax Number | 3042018505 |
Enumeration Date | 2007-01-29 |
Last Update Date | 2020-08-22 |
Authorized Official Name | JOHN PATRICK MARTIN (PEDIATRIC DENTIST) |
Authorized Official Telephone | 3042018500 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
WV3568 | WV | Dental Providers |
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
WV3264 | WV | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WV | 3810002523 | 05 |
Other Name | Type Code |
---|---|
Teays Valley Pediatric Dentistry | Doing Business As Name - Organization |
Street Address |
3659 TEAYS VALLEY ROAD SUITE 100 |
City | HURRICANE |
State | WV |
Zip Code | 25526-9701 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639215684 | John Patrick Martin | Dentist | 3659 Teays Valley Road, Suite 100, Hurricane, WV 25526-9701 | 2007-01-29 |
1689711699 | Nathan Earl Kirk II | Dentist | 3659 Teays Valley Road, Hurricane, WV 25526-9701 | 2007-01-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760081707 | Paige E Walroth | Technician | 51 Overlook Dr, Hurricane, WV 25526 | 2020-10-21 |
1770195778 | Marilyn Sue Shank | Technician | 168 Willow Tree Way, Apt 313, Hurricane, WV 25526 | 2020-08-20 |
1275150351 | Wv Wellness and Recovery LLC | Clinic/Center | 4 Putnam Village Drive, Hurricane, WV 25526 | 2020-07-06 |
1538645718 | Patsy Samples | Technician | 3067 State Rt 34s, Hurricane, WV 25526 | 2018-07-11 |
1528550274 | Sarah Marie Jackson | Occupational Therapist | Genesis-putnam Center, 300 Seville Road, Hurricane, WV 25526 | 2018-05-30 |
1619466463 | Mh Psychological Services, Pllc | Psychologist | 125 Morris Ct, Hurricane, WV 25526 | 2018-05-08 |
1023510740 | William Riddle | Technician | 157 Washington Cirlce, Hurricane, WV 25526 | 2018-03-08 |
1942702303 | Natalie Whitman | Technician | 2933 State Route 34 South, Hurricane, WV 25526 | 2018-03-01 |
1972002681 | Dianna Roberts | Technician | 550 Dudding Avenue, Hurricane, WV 25526 | 2018-02-08 |
1174022875 | Nancy Adams | Technician | 1 Western Hills Drive, Hurricane, WV 25526 | 2018-02-08 |
Find all providers in zip 25526 |
Taxonomy Code | 1223P0221X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Pediatric Dentistry |
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487948741 | Eric J Bailey | Dentist | 3659 Teays Valley Rd, Suite 100, Hurricane, WV 25526-9701 | 2011-06-04 |
1639215684 | John Patrick Martin | Dentist | 3659 Teays Valley Road, Suite 100, Hurricane, WV 25526-9701 | 2007-01-29 |
1063596104 | Jeremy Scholzen | Dentist | 201 S 700 W, Hurricane, UT 84737 | 2006-10-25 |
1073987038 | Lizzie O'dell Pllc | Dentist | 3520 Teays Valley Rd, Hurricane, WV 25526-9479 | 2015-11-13 |
1689711699 | Nathan Earl Kirk II | Dentist | 3659 Teays Valley Road, Hurricane, WV 25526-9701 | 2007-01-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861022733 | Erin H Branham Dds Pllc | Dentist | 225 College Pkwy Ste 201, Parkersburg, WV 26104-7655 | 2020-01-20 |
1154713246 | Dr. Cynthia D. Parks Dds, Pllc | Dentist | 601 Venture Dr, Suite 200, Morgantown, WV 26508-7310 | 2015-02-26 |
1124452644 | Katie Steele Dds Pllc, Steele Pediatric Dentistry | Dentist | 204 Kruger St Ste 1, Wheeling, WV 26003-5165 | 2013-09-03 |
1215127881 | Erin Hudgins Branham | Dentist | 414 Alpine St, Mineral Wells, WV 26150-3015 | 2007-07-30 |
1922208867 | Rebecca Johnson Kucera | Dentist | 1489 N Jefferson St, Lewisburg, WV 24901-1187 | 2007-07-19 |
1760501001 | Tracy L. Wilkerson, Dds, Pllc | Dentist | 1400 Kanawha Blvd E, Charleston, WV 25301-3002 | 2007-03-28 |
1306912258 | Seyed Moe Momen | Dentist | 9 Chenoweth Drive, Bridgeport, WV 26330 | 2006-11-24 |
1386756054 | Cynthia Denise Parks | Dentist | 7000 Coomb's Farm Drive, Suite 102, Morgantown, WV 26508 | 2006-08-31 |
1053353334 | Paul Todd Rose | Dentist | 220 Ragland Rd, Beckley, WV 25801-9721 | 2006-06-12 |
1528024460 | Tracy Lynn Wilkerson | Dentist | 1400 Kanawha Boulevard East, Charleston, WV 25301 | 2006-04-20 |
Find all providers with the same taxonomy |
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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.