CLIFTON MARTIN (NPI# 1215033725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215033725 |
| Entity Type | Individual |
| Full Name | CLIFTON MARTIN |
| Practice Address |
609 Elm Ave Waco TX 76704 |
| Mailing Address |
1600 Providence Dr Waco TX 76707-2261 |
| Practice Telephone | 2543136960 |
| Practice Fax Number | 2543134531 |
| Mailing Telephone | 2543134200 |
| Mailing Fax Number | 2543134326 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2016-02-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
14783 | TX | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 090525901 | 05 |
| Street Address |
609 ELM AVE |
| City | WACO |
| State | TX |
| Zip Code | 76704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720239106 | Joel Brennan Mahan | Family Medicine | 609 Elm Ave, Waco, TX 76704 | 2008-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780123356 | Scott Kennedy | Dentist | 609 Elm Avenue, Waco, TX 76704 | 2017-02-15 |
| 1023499407 | Cenikor Foundation | Community/Behavioral Health | 2601 Gholson Rd., Waco, TX 76704 | 2015-06-11 |
| 1003085135 | Woodland Springs Healthcare Lp | Skilled Nursing Facility | 1010 Dallas St, Waco, TX 76704 | 2008-02-22 |
| 1649257429 | Floyd Lee Barry | Pediatrics | 1911 Martin Luther King Blvd, Waco, TX 76704 | 2005-12-22 |
| 1245217058 | Lauren Gallemore Barron | Family Medicine | 1911 Martin Luther King Blvd, Waco, TX 76704 | 2005-12-22 |
| 1104123926 | Mclennan County | Social Worker | 2601 Gholson Rd, Waco, TX 76704-1106 | 2011-02-14 |
| 1528625035 | Sherine Amondi Oganga | Registered Nurse | 413 Dearborn St, Waco, TX 76704-1431 | 2019-05-21 |
| 1477837730 | Heart of Texas Community Health Center, Inc. | Family Medicine | 1911 N Martin Luther King Jr Blvd, Waco, TX 76704-1438 | 2011-10-05 |
| 1356781579 | Kathryn Christen Siems | Physician Assistant | 1911 Martin Luther King Blvd, Waco, TX 76704-1438 | 2013-07-02 |
| 1689283764 | Rylee Valtr | Speech-Language Pathologist | 1010 Dallas St, Waco, TX 76704-1711 | 2020-07-24 |
| Find all providers in zip 76704 | ||||
| Taxonomy Code | 1223D0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dental Public Health |
| The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114010733 | Remmel Henry | Dentist | 225 W. West Waco Dr., Waco, TX 76707 | 2006-10-02 |
| 1912380650 | Acre Wood Dental | Dentist | 4000 Bellmead Dr, Waco, TX 76705-3138 | 2015-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982221032 | Girish Suresh Shelke | Dentist | 7703 Floyd Curl Dr # 2.539u, San Antonio, TX 78229-3901 | 2020-07-05 |
| 1386289767 | Nazgol Gharbi | Dentist | 5310 Burnet Rd Ste 108, Austin, TX 78756-2061 | 2019-11-09 |
| 1841845989 | Ensy Ann Atarod | Dentist | 1303 San Antonio St Ste 500, Austin, TX 78701-0025 | 2019-08-06 |
| 1073177531 | Kendall Dds Pllc | Dentist | 2124 S Donnybrook Ave, Tyler, TX 75701-4239 | 2019-04-30 |
| 1093272932 | Dental Smiles | Dentist | 1201 Barbara Jordan Blvd Ste 1435, Austin, TX 78723-3099 | 2019-02-27 |
| 1790240794 | Jamboree Dentistry Vi Pllc | Dentist | 6715 Bissonnet St, Houston, TX 77074-6129 | 2019-02-04 |
| 1083198311 | Husain Kapadia | Dentist | 14041 Grant Rd Ste 110, Cypress, TX 77429-0041 | 2018-09-21 |
| 1679076848 | Northside Health Center | Dentist | 8504 Schuller, Houston, TX 77093 | 2018-03-14 |
| 1093218257 | Sharpstown Health Clinic | Dentist | 6201 Bohomme Rd, 3rd Floor, Houston, TX 77036 | 2018-03-14 |
| 1700389962 | La Nueva Casa De Amigos | Dentist | 1809 N Main Street, Houston, TX 77009 | 2018-03-14 |
| 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.