DR. RICKEY LEE MARTIN (NPI# 1114003217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114003217 |
| Entity Type | Individual |
| Full Name | DR. RICKEY LEE MARTIN |
| Credential | D.D.S. |
| Practice Address |
7707 Old Hammond Hwy Ste 4 Baton Rouge LA 70809-1262 |
| Practice Telephone | 2259259795 |
| Practice Fax Number | 2259259791 |
| Mailing Telephone | 2259259795 |
| Mailing Fax Number | 2259259791 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
3001 | LA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023027737 | Rickey Rodger Martin | Physician Assistant | 126 Missouri Ave, Fort Leonard Wood, MO 65473-8952 | 2006-08-05 |
| Street Address |
7707 OLD HAMMOND HWY STE 4 |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70809-1262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619582640 | Lisha Kerr Jacobsen | Counselor | 7936 Wrenwood Drive, Bldg # A, Baton Rouge, LA 70809 | 2020-09-15 |
| 1790301596 | Louisiana Regenerative Medicine Center | Clinic/Center | 9456 Jefferson Hwy St A, Baton Rouge, LA 70809 | 2020-06-18 |
| 1093337305 | Sew Luxe Customs, LLC | Prosthetic/Orthotic Supplier | 8674 Quarters Lake Road, Building 11 Suit 1, Baton Rouge, LA 70809 | 2020-05-08 |
| 1366903908 | Tamika Wyna Piper | Counselor | 11445 Reiger Road, Baton Rouge, LA 70809 | 2019-03-27 |
| 1548734213 | Urg-hab Surgical Specialists | Pain Medicine | 8558 Jefferson Hwy, Baton Rouge, LA 70809 | 2019-01-16 |
| 1205306610 | Monique West | Case Manager/Care Coordinator | 9441 Common Street, Suite B, Baton Rouge, LA 70809 | 2018-11-28 |
| 1679061618 | Sara Elizabeth Nicole Altaean | Massage Therapist | Ability Massage & Day Spa, 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-04-25 |
| 1871098921 | Gary Bernard Jr. | Massage Therapist | 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-03-29 |
| 1619476355 | De'andria Banks | Behavior Technician | 9150 Bareford Drive, Baton Rouge, LA 70809 | 2018-02-08 |
| 1427561679 | Angiogenesis Medical LLC | Durable Medical Equipment & Medical Supplies | 8032 Summa Ave Ste D, Baton Rouge, LA 70809 | 2017-11-09 |
| Find all providers in zip 70809 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396045498 | Orthodontics of Baton Rouge, LLC | Dentist | 8460 Bluebonnet Blvd Ste A, Baton Rouge, LA 70810-2823 | 2010-10-25 |
| 1588841019 | Sean Adrian Smith | Dentist | 9063 Siegen Ln, Suite C, Baton Rouge, LA 70810-1951 | 2008-01-28 |
| 1689790602 | Keith R. Kyler | Dentist | 11964 Coursey Blvd, Baton Rouge, LA 70816-4405 | 2007-03-21 |
| 1336279520 | Stephen L. Sherman | Dentist | 8311 Bluebonnet Blvd, Baton Rouge, LA 70810-2826 | 2007-03-06 |
| 1255461992 | James F Sieberth | Dentist | 8170 Goodwood Blvd Ste B, Baton Rouge, LA 70806-7736 | 2007-03-06 |
| 1689700031 | Kevin Paul Harris | Dentist | 5015 Bluebonnet Blvd, Baton Rouge, LA 70809-3084 | 2007-02-27 |
| 1891830212 | Andre Maurice Fruge | Dentist | 12061 Bricksome Ave, Baton Rouge, LA 70816-2339 | 2007-02-21 |
| 1407870983 | Joseph R Porter | Dentist | 4451 Bluebonnet Blvd Ste B, Baton Rouge, LA 70809-9639 | 2006-07-27 |
| 1619929262 | James Sidney Langley | Dentist | 4809 Jones Creek Rd, Baton Rouge, LA 70817-1528 | 2006-05-16 |
| 1336756436 | Shannon Candid Louisiana, Professional Corporation | Dentist | 804 Main St, Baton Rouge, LA 70802-5528 | 2020-09-23 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70809 |
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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.