DR. BRENT MARTIN (NPI# 1427109875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427109875 |
| Entity Type | Individual |
| Full Name | DR. BRENT MARTIN |
| Credential | D.D.S. M.B.A. |
| Practice Address |
1216 Farmington Ave Suite 201 West Hartford CT 06107-2672 |
| Mailing Address |
10 E Normandy Dr West Hartford CT 06107-1405 |
| Practice Telephone | 8605614378 |
| Practice Fax Number | 8605614384 |
| Mailing Telephone | 8605610233 |
| Mailing Fax Number | 8605610234 |
| Enumeration Date | 2007-01-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
CT 8217 | CT | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447412580 | Brent Erickson Martin | Dentist | 1721 E Lincoln Ave, Sunnyside, WA 98944-2478 | 2008-06-30 |
| 1417081316 | Brent Curtis Martin | Physician Assistant | 10 Medical Center Blvd Ste C, Lufkin, TX 75904-3163 | 2007-03-15 |
| 1891743811 | Brent Leonard Martin | Dentist | 8380 City Centre Dr, Suite 120, Woodbury, MN 55125-5304 | 2006-05-04 |
| 1417560046 | Brent Martin | Pharmacist | 211 W College St, Colquitt, GA 39837-3403 | 2020-08-24 |
| 1265940365 | Brent A Martin | Registered Nurse | 2809 N Park Drive Ln, Appleton, WI 54911-1603 | 2018-01-11 |
| 1972990869 | Brent Charles Martin | Dermatology | 17271 Brookhurst St, Fountain Valley, CA 92708-3701 | 2015-04-19 |
| 1538336615 | Brent D Martin | Dentist | 3551 Roger Brooke Dr, Quality Services/7th Floor Attn: Mche-zqq, Jbsa Ft Sam Houston, TX 78234-4504 | 2008-05-08 |
| Street Address |
1216 FARMINGTON AVE SUITE 201 |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06107-2672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225004922 | David John Domenichini | Internal Medicine | 1216 Farmington Ave, Room 102, West Hartford, CT 06107-2672 | 2006-02-23 |
| 1295251254 | Jennifer Lagosz Conboy | Family Medicine | 1216 Farmington Ave, West Hartford, CT 06107-2672 | 2017-08-21 |
| 1619400504 | Carolyn Elizabeth Considine | Nurse Practitioner | 1216 Farmington Ave, West Hartford, CT 06107-2672 | 2017-04-06 |
| 1205123825 | Bland Dew Maloney | Counselor | 1216 Farmington Ave, West Hartford, CT 06107-2672 | 2011-07-03 |
| 1770894214 | Companions for Living, LLC | In Home Supportive Care | 1216 Farmington Ave, Suite 202, West Hartford, CT 06107-2672 | 2010-06-30 |
| 1205018470 | David J Domenichini Md, PC | Internal Medicine | 1216 Farmington Ave, Suite 102, West Hartford, CT 06107-2672 | 2007-11-29 |
| 1437367679 | Richard Fisher | Social Worker | 1216 Farmington Ave, West Hartford, CT 06107-2672 | 2007-05-20 |
| 1902995855 | Patricia Hernandez | Nurse Practitioner | 1216 Farmington Ave, Suite 102, West Hartford, CT 06107-2672 | 2006-10-11 |
| 1629188131 | Patrick H Mcdermott | Internal Medicine | 1216 Farmington Ave, Suite 101, West Hartford, CT 06107-2672 | 2006-08-30 |
| 1386657740 | Alice Brooks | Social Worker | 1216 Farmington Ave, West Hartford, CT 06107-2672 | 2006-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538783659 | Briana Deslauriers | Audiologist | Solinsky Hearing Center, 1013 Farmington Avenue, West Hartford, CT 06107 | 2020-06-04 |
| 1750851366 | Candyce Yvonne Scott | Counselor | 61 S Main St Ste 310, West Hartford, CT 06107 | 2018-11-27 |
| 1124524798 | Image of Light Mental Health Services, LLC | Nurse Practitioner | 45 S Main St Ste 70, West Hartford, CT 06107 | 2018-04-03 |
| 1235632498 | Leila Fussell | Student in an Organized Health Care Education/Training Program | 175 Garfield Rd, West Hartford, CT 06107 | 2018-03-14 |
| 1568818169 | Gail Southard Canzano | Psychologist | 81 S. Main St, West Hartford, CT 06107 | 2016-05-12 |
| 1922470939 | Optimal Wellness of West Hartford | Family Medicine | 1001 Farmington Ave., West Hartford, CT 06107 | 2015-10-29 |
| 1518369925 | Maria Eugenia Garcia-ayala | Psychiatry & Neurology | 65 Memorial Rd Ste 508, West Hartford, CT 06107 | 2014-09-17 |
| 1376884981 | Robert Moss | Pediatrics | 174 Wood Pond Road, West Hartford, CT 06107 | 2013-03-06 |
| 1659630960 | Michael John Grille | Anesthesiology | 65 Memorial Rd #435, Hartford Hospital Pain Treatment Center, West Hartford, CT 06107 | 2012-05-07 |
| 1518268010 | Parsons Health Co. Inc | Legal Medicine | 61 So Main Street, Suite 202, West Hartford, CT 06107 | 2010-11-15 |
| Find all providers in zip 06107 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578804795 | Alyssa Kievit | Dentist | 901 Farmington Ave Ste 201, West Hartford, CT 06119-1418 | 2013-03-13 |
| 1518221407 | Wenjie Yu | Dentist | 12 N Main St Ste 101, 101, West Hartford, CT 06107-1932 | 2012-06-26 |
| 1285901561 | Dr. Dental of West Hartford, PC | Dentist | 18 Kane St, West Hartford, CT 06119-2109 | 2011-11-30 |
| 1174814495 | Blue Back Dental LLC | Dentist | 65 Memorial Rd Ste 400, West Hartford, CT 06107-4219 | 2011-04-20 |
| 1891005005 | Peter S Katz Dmd | Dentist | 125 La Salle Road, Suite 306, West Hartford, CT 06107 | 2010-10-21 |
| 1194925099 | Benjamin J Weber | Dentist | 1075 Farmington Ave, West Hartford, CT 06107-2114 | 2007-07-19 |
| 1053523589 | Paula Stern | Dentist | 780 Farmington Avenue, West Hartford, CT 06119 | 2007-05-04 |
| 1548486830 | Arnold Edward Weinstein | Dentist | 1005 Farmington Ave Ste D, West Hartford, CT 06107-2127 | 2007-04-17 |
| 1457407744 | Kevin Purviance | Dentist | 61 South Main Sreet, 301, West Hartford, CT 06107-1944 | 2007-01-27 |
| 1073668349 | Brian Hilton Odlum | Dentist | 7 S Main St, West Hartford, CT 06107-2447 | 2007-01-24 |
| Find all providers in WEST HARTFORD | ||||
| City | WEST HARTFORD |
| Zip Code | 06107 |
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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.