DR. DEREK MICHAEL MARTIN (NPI# 1952662132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952662132 |
| Entity Type | Individual |
| Full Name | DR. DEREK MICHAEL MARTIN |
| Credential | DMD |
| Practice Address |
1259 Hyde Park Ave Hyde Park MA 02136-2817 |
| Practice Telephone | 6173645500 |
| Mailing Telephone | 5085798698 |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2012-06-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN1855962 | MA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235317041 | Derek L. Martin | Dentist | 1833 Goldenrod Ln, Vista, CA 92081-5342 | 2008-02-04 |
| 1467576884 | Derek Abel Martin | Chiropractor | 13843 Hwy 105 West, Suite 105, Conroe, TX 77304 | 2007-03-19 |
| 1881236875 | Derek Vincent Martin | Behavioral Analyst | 410 N Prince St, Lancaster, PA 17603-3010 | 2019-10-11 |
| 1548795271 | Derek Martin | Nurse Anesthetist, Certified Registered | 333 Smith Ave N, Saint Paul, MN 55102-2344 | 2017-05-01 |
| Street Address |
1259 HYDE PARK AVE |
| City | HYDE PARK |
| State | MA |
| Zip Code | 02136-2817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578695854 | Warren Custer Childs IIi | Dentist | 1259 Hyde Park Ave, Hyde Park, MA 02136-2817 | 2007-03-12 |
| 1972074870 | Stuart J. Macdonald, Dmd, PC | Dentist | 1259 Hyde Park Ave, Hyde Park, MA 02136-2817 | 2018-12-17 |
| 1639408925 | Arch Orthodontics, PC | Dentist | 1259 Hyde Park Ave, Hyde Park, MA 02136-2817 | 2009-12-15 |
| 1528184702 | Paul Owen Groipen | Dentist | 1259 Hyde Park Ave, Hyde Park, MA 02136-2817 | 2007-03-21 |
| 1215053418 | Richard R. Bankhead | Dentist | 1259 Hyde Park Ave, Hyde Park, MA 02136-2817 | 2007-03-21 |
| 1023134137 | Stuart J. Macdonald | Dentist | 1259 Hyde Park Ave, Hyde Park, MA 02136-2817 | 2007-03-21 |
| 1952427148 | Drs. Bankhead and Groipen, D.d.s., P.C. | Dentist | 1259 Hyde Park Ave, Hyde Park, MA 02136-2817 | 2007-03-21 |
| 1619093713 | Kirk R. Bankhead | Dentist | 1259 Hyde Park Ave, Hyde Park, MA 02136-2817 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952892564 | Dionne Latrice | Counselor | 695 Truman Pwky, Boston, MA 02136 | 2018-05-21 |
| 1134622426 | Light House Behavioral Health and Wellness Center Inc. | Community/Behavioral Health | 1 Westinghouse Plaza, A-216, Boston, MA 02136 | 2018-03-13 |
| 1396168795 | Living Well | Home Health | 53 Oak St, Hyde Park, MA 02136 | 2014-01-22 |
| 1891051074 | Marie Ronique Yilain | Licensed Practical Nurse | 59 Cromwell Rd, Hyde Park, MA 02136 | 2012-04-02 |
| 1033410543 | Stephanie Sabrina Seigle | Counselor | 5 Linden Ave, Hyde Park, MA 02136 | 2010-11-15 |
| 1699075747 | Jeffrey Meisner | Physical Therapist | 188 Providence Street, Boston Pain Clinic, Hyde Park, MA 02136 | 2010-10-22 |
| 1356593743 | Supplemantal Health Care Services | Residential Treatment Facility, Physical Disabilities | 731 Truman Hwy, Hyde Park, MA 02136 | 2008-10-16 |
| 1407023047 | Amy Elizabeth Delaney | Nurse Practitioner | 695 Truman Parkway, Suite 203, Hyde Park Pediatrics, Hyde Park, MA 02136 | 2008-05-13 |
| 1629254263 | Alla Urman | Nurse Practitioner | 1274 Hyde Park Ave, Hyde Park, MA 02136 | 2008-01-14 |
| 1912106980 | Marina Williams | Counselor | 1158 Hyde Park Ave, Hyde Park, MA 02136 | 2007-07-11 |
| Find all providers in zip 02136 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780189977 | Lisa Marie Foley | Dentist | 54 Lexington Ave, Hyde Park, MA 02136-3156 | 2018-03-28 |
| 1558675348 | Shipra Chadda | Dentist | 1234 Hyde Park Ave Ste 103, Hyde Park, MA 02136-2819 | 2010-08-04 |
| 1396301578 | Jenna Elise Swotinsky | Dentist | 912 River St, Hyde Park, MA 02136-3715 | 2019-05-14 |
| 1265917306 | Gunjanbhai Rameshbhai Patel | Dentist | 912 River St, Hyde Park, MA 02136-3715 | 2018-09-25 |
| 1548676224 | Rebecca Ann Rashford | Dentist | 24 Main St, Hyde Park, NY 12538-1308 | 2014-07-02 |
| 1487080016 | Dr Shipra Chadda PC | Dentist | 1234 Hyde Park Ave, Hyde Park, MA 02136-2819 | 2013-09-13 |
| 1639519812 | David Dean D.m.d. | Dentist | 1138 River St, Hyde Park, MA 02136-2970 | 2013-07-02 |
| 1578716270 | Philip Anthony Williams | Dentist | 4350 Albany Post Rd, Hyde Park, NY 12538-3609 | 2008-10-28 |
| 1811143019 | Valerie J Vincellette | Dentist | 24 Main St, Hyde Park, NY 12538-1308 | 2008-08-07 |
| 1588860241 | Siamak Barkhordar | Dentist | 11 Crum Elbow Rd, Hyde Park, NY 12538-2852 | 2007-06-21 |
| Find all providers in HYDE PARK | ||||
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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.