DR. MITISHA NICHOLE MARTIN DMD
NPI 1255592267
Dentist in Louisville, KY

Active since June 23, 2008PECOS Enrolled
5316 S. 3RD STREET, LOUISVILLE, KY 40214(502) 276-8778 Get Directions Write a Review

NPPES record last updated: July 14, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 14, 2020, Sep 6, 2018 (2 updates tracked since 2018).

About Dr. Mitisha Nichole Martin Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MITISHA NICHOLE MARTIN DMD (NPI 1255592267) is an individual dentist in Louisville, Kentucky, licensed in Kentucky (8651) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and maintains a secondary practice location in Louisville.

NPPES Registry Identity

NPI1255592267
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. MITISHA NICHOLE MARTINCredential: DMD
Location Address5316 S. 3RD STREETLouisville, KY 40214
Mailing Address5316 S. 3rd StreetLouisville, KY 40214 · (502) 276-8778
Sole ProprietorNo
Enumeration DateJune 23, 2008
Last NPPES UpdateJuly 14, 20202 updates tracked since enumeration
NPPES CertifiedJuly 14, 2020
NPI 1255592267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in KY · 8651
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

5316 S. 3RD STREET, Louisville, KY 40214

Other Names 1

Former Name (1)Dr. Mitisha Nichole Hudson Dmd

Secondary Practice Location 1

Location 1130 Evergreen RdLouisville, KY 40243-1489 · Phone (502) 410-1710

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Mitisha Nichole Martin Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40214 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mitisha Martin's NPI number?

The NPI number for Mitisha Martin is 1255592267. It was assigned to this individual provider in the NPPES registry on June 23, 2008. The provider is also known as Dr. Mitisha Nichole Hudson Dmd.

Where is Mitisha Martin located?

Mitisha Martin practices at 5316 S. 3rd Street, Louisville, KY 40214. The listed phone number is (502) 276-8778.

What is Mitisha Martin's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Mitisha Martin enrolled in Medicare?

Yes. Mitisha Martin is registered in the Medicare PECOS enrollment system.

What insurance does Mitisha Martin accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 11 other insurers list Mitisha Martin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mitisha Martin was last updated on July 14, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.