DR. KEVIN MATHEW MARTIN (NPI# 1952376295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952376295 |
| Entity Type | Individual |
| Full Name | DR. KEVIN MATHEW MARTIN |
| Credential | DDS |
| Practice Address |
9450 W Russell Rd Ste 102 Las Vegas NV 89148-5690 |
| Practice Telephone | 7023122273 |
| Practice Fax Number | 7023122276 |
| Mailing Telephone | 7025703320 |
| Mailing Fax Number | 7025703424 |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2020-09-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
S2-26 | NV | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 002202729 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9450 W Russell Rd Ste 102, Las Vegas, NV 891485690 | 7025703320 | 7025703424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932681988 | Kevin Martin | Behavior Technician | 4760 Flintridge Dr # 125, Colorado Springs, CO 80918-4267 | 2018-09-05 |
| 1295949188 | Kevin L. Martin | Internal Medicine | 7 W 96th St Apt 1a, New York, NY 10025-6514 | 2007-05-09 |
| 1417179607 | Kevin John Martin | Chiropractor | 7136 Mlk Jr Way S, Ste 204, Seattle, WA 98118-3526 | 2007-05-03 |
| 1225162142 | Kevin Earl Martin | Chiropractor | 2513 Colorado Blvd, Los Angeles, CA 90041-1004 | 2007-03-15 |
| 1558405787 | Kevin Paul Martin | Optometrist | 201w Napa St 3, Sonoma, CA 95476-6621 | 2007-02-19 |
| 1093347700 | Kevin Charles Martin | Physical Therapist | 170 Taylor Station Rd Ste 220, Columbus, OH 43213-4491 | 2020-02-11 |
| 1730675034 | Kevin Martin | Pharmacist | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2018-07-10 |
| 1376030478 | Kevin Martin | Technician/Technologist | 32100 Telegraph Rd Ste 205, Bingham Farms, MI 48025-2454 | 2018-04-16 |
| 1710484530 | Kevin Mark Martin | Student in an Organized Health Care Education/Training Program | 1117 E Devonshire Ave, Hemet, CA 92543-3083 | 2018-04-09 |
| 1285006361 | Kevin Martin | Counselor | 795 Willow Rd, Bldg. 324, Menlo Park, CA 94025-2539 | 2015-10-28 |
| Street Address |
9450 W RUSSELL RD STE 102 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89148-5690 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293777 | Miguel Angel Umpierre | Technician | 9889 Overlook Ridge Ave, Las Vegas, NV 89148 | 2020-10-21 |
| 1689280588 | Santos Nunez | Technician | 7950 Mcginnis Ave, Las Vegas, NV 89148 | 2020-09-17 |
| 1861007734 | Daniel D Forro | Occupational Therapist | 10164 Phelps Lake Ct, Las Vegas, NV 89148 | 2020-09-08 |
| 1568098309 | Moinca R Ponce | Dentist | 9450 West Russell Rd, Suite #103, Las Vegas, NV 89148 | 2020-03-12 |
| 1689214876 | Mama Dukes Healthcare Services LLC | Rehabilitation Counselor | 9908 Masterpeice Drive, Las Vegas, NV 89148 | 2020-01-15 |
| 1720621865 | Building Hope Nevada | Community/Behavioral Health | 8936 Spanish Ridge, Las Vegas, NV 89148 | 2019-10-22 |
| 1790343721 | Maretes Godinez | Case Manager/Care Coordinator | 6070 S Fort Apache Rd., Suite 110, Las Vegas, NV 89148 | 2019-06-04 |
| 1295393601 | United Medical Group Pllc | Pharmacist | 9205 W. Russell Road, Building 3, Ste 240, Las Vegas, NV 89148 | 2019-05-31 |
| 1609358886 | Jdr Dermatology Research, LLC. | Dermatology | 9080 W Post Rd Ste 100, Las Vegas, NV 89148 | 2018-09-04 |
| 1902393929 | Hogue Healing Health and Hope, Pllc Dba H3, Pllc | Social Worker | 9205 W. Russell Rd Ste 240 Bldg 3, Las Vegas, NV 89148 | 2018-04-16 |
| Find all providers in zip 89148 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568098309 | Moinca R Ponce | Dentist | 9450 West Russell Rd, Suite #103, Las Vegas, NV 89148 | 2020-03-12 |
| 1063061976 | Axiom Dentistry, LLC | Dentist | 8965 S Eastern Ave # 110, Las Vegas, NV 89123-4891 | 2019-09-04 |
| 1922657808 | Axiom Dentistry, LLC | Dentist | 410 S Rampart Blvd Ste 360, Las Vegas, NV 89145-5730 | 2019-09-04 |
| 1922533785 | Providence Dental Dhillon Pllc | Dentist | 10965 Lavender Hill Dr, # 6200, Las Vegas, NV 89135-2950 | 2017-04-28 |
| 1790136380 | Jordan Swarbrick | Dentist | 6180 N Decatur Blvd Ste 100, Las Vegas, NV 89130-1505 | 2016-06-25 |
| 1861848400 | Kevin Nowins | Dentist | 630 S Rancho Dr Ste B, Las Vegas, NV 89106-4849 | 2016-05-13 |
| 1922489350 | Falk Oral & Facial Surgery, Pllc | Dentist | 6200 North Durango Drive, Suite 100, Las Vegas, NV 89149-4408 | 2015-06-11 |
| 1760739825 | Michael S Moody | Dentist | 6200 N Durango Dr Ste 100, Las Vegas, NV 89149 | 2012-08-08 |
| 1467713859 | James J Schlesinger IIi | Dentist | 2040 W Charleston Blvd Ste 201, Las Vegas, NV 89102-2287 | 2012-06-02 |
| 1922365402 | Blair Alexander Isom | Dentist | 9368 Bronze River Ave, Las Vegas, NV 89149-1687 | 2012-04-20 |
| Find all providers in LAS VEGAS | ||||
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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.