DR. KENNETH R. MARTIN (NPI# 1760557334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760557334 |
| Entity Type | Individual |
| Full Name | DR. KENNETH R. MARTIN |
| Credential | D.M.D |
| Practice Address |
694 S Willow Ave Cookeville TN 38501-3882 |
| Practice Telephone | 9315285491 |
| Practice Fax Number | 9315200510 |
| Mailing Telephone | 9315285491 |
| Mailing Fax Number | 9315200510 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DS2766 | TN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285232579 | Kenneth Martin | Technician | 138 Ivy Rd, Lerona, WV 25971 | 2020-10-09 |
| 1467085274 | Kenneth Martin | Pharmacist | 1811 West Govt St, Brandon, MS 39042-2106 | 2020-02-20 |
| 1578122065 | Kenneth Kevin Martin | Pharmacist | 700 Scott and White Dr # 1.112, College Station, TX 77845-6441 | 2019-06-10 |
| 1598064677 | Kenneth Martin | Physician Assistant | 26 Edgerton Drive, North Falmouth, MA 02556 | 2011-03-15 |
| 1154475952 | Kenneth Michael Martin | Physical Therapist | 2700 Lake Villa Dr Ste 100, Metairie, LA 70002-6782 | 2007-01-22 |
| 1093899007 | Kenneth Leon Martin | Counselor | 105 Paces Brook Ave, #10518, Columbia, SC 29212-1642 | 2006-10-25 |
| 1245261809 | Kenneth J Martin | Marriage & Family Therapist | 564 Market St, Suite 410, San Francisco, CA 94104-5404 | 2006-07-05 |
| 1093743858 | Kenneth Martin Jr. | Audiologist | 710 N High St, Longview, TX 75601-5330 | 2006-06-29 |
| 1699730689 | Kenneth Andrew Martin | Orthopaedic Surgery | 5320 W. Markham, Little Rock, AR 72205 | 2006-04-20 |
| 1528057726 | Kenneth Edward Martin | Chiropractor | 9130 Las Tunas Dr, Temple City, CA 91780-1903 | 2005-10-19 |
| Street Address |
694 S WILLOW AVE |
| City | COOKEVILLE |
| State | TN |
| Zip Code | 38501-3882 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851801955 | Mae Sedaghati Languri | Dentist | 694 S Willow Ave, Cookeville, TN 38501-3882 | 2017-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596711 | Results-ast Jv, LLC | Physical Therapist | 627 James Campbell Blvd, South, Suite B, Columbia, TN 38501 | 2020-10-21 |
| 1376167080 | Melinda Jane Jetter | Registered Nurse | 320 North Willow Avenue, Cookeville, TN 38501 | 2020-05-29 |
| 1366950875 | Tara Beth Smith | Occupational Therapist | 315 N Washington Ave Ste 240, Cookeville, TN 38501 | 2018-01-18 |
| 1669990339 | Tonya Rachelle Perry | Counselor | 13 South Jefferson Ave, Cookeville, TN 38501 | 2017-09-01 |
| 1659896207 | Dustin Chase Rich | Physical Therapist | 105 S. Willow Ave, #100, Cookeville, TN 38501 | 2017-08-04 |
| 1487009668 | Holly Young | Physical Therapist | 315 North Washungton Ave., Suite 240, Cookeville, TN 38501 | 2016-04-26 |
| 1194190306 | Johnna Sprague | Nurse Practitioner | 620 S. Jefferson Ave, Suite 202, Cookeville, TN 38501 | 2015-12-14 |
| 1881099885 | Carlos Alberto Podesta | Internal Medicine | 238 W 4th St Ste 200, Cookeville, TN 38501 | 2014-11-03 |
| 1124445002 | Shashank Sarvepalli | Internal Medicine | 1 Medical Center Blvd Ste D, Cookeville, TN 38501 | 2014-03-27 |
| 1689095762 | Kendra Hicks | Licensed Practical Nurse | 701 County Services Drive, Cookeville, TN 38501 | 2013-12-17 |
| Find all providers in zip 38501 | ||||
| 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 |
|---|---|---|---|---|
| 1427566405 | B & B Dental LLC | Dentist | 416 W Jackson St Ste A, Cookeville, TN 38501-4666 | 2018-01-12 |
| 1093235665 | Luis Filipe Mariusso | Dentist | 1640 Salem Rd, Cookeville, TN 38506 | 2017-06-23 |
| 1831530914 | Joel A Davis | Dentist | 787 S Willow Ave Ste B, Cookeville, TN 38501-4618 | 2013-07-17 |
| 1992997886 | David G Draper Sr. | Dentist | 202 Shipley Street, Cookeville, TN 38501 | 2007-08-14 |
| 1013136050 | John F Rhodes | Dentist | 1100 Neal St Ste A, Keystone Professional Building, Cookeville, TN 38501-0900 | 2007-04-25 |
| 1881817401 | Don Kevin Hayes | Dentist | 620 E 10th St, Cookeville, TN 38501-1810 | 2007-04-11 |
| 1922142397 | Robert Clark Childress | Dentist | 219 N Oak Ave, Cookeville, TN 38501-2437 | 2007-02-17 |
| 1376695304 | Hayes Family Dentistry | Dentist | 620 E 10th Street, Cookeville, TN 38501-1810 | 2007-01-18 |
| 1649341066 | Scott Brown | Dentist | 115 S Jefferson Ave, Cookeville, TN 38501-3424 | 2006-11-10 |
| 1285711523 | William Daye Phillippi II | Dentist | 798 W Oak Dr, Apt. F-4, Cookeville, TN 38501-3779 | 2006-11-01 |
| Find all providers in COOKEVILLE | ||||
| City | COOKEVILLE |
| Zip Code | 38501 |
Please comment or provide details below to improve the information on DR. KENNETH R. MARTIN.
| 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.