Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. DARYL JOHNATHON MARTIN JR. DDS
NPI 1366552440
Dentist - General Practice in Maryland Heights, MO

Active since August 30, 2006PECOS Enrolled
11705 DORSETT RD STE 205, MARYLAND HEIGHTS, MO 63043(314) 739-1222(314) 739-1094 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Daryl Johnathon Martin Jr. Dds NPPES

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

DR. DARYL JOHNATHON MARTIN JR. DDS (NPI 1366552440) is an individual general practice provider in Maryland Heights, Missouri, licensed in Missouri (15178) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366552440
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. DARYL JOHNATHON MARTIN JR.Credential: DDS
Location Address11705 DORSETT RD STE 205Maryland Heights, MO 63043-2517
Mailing Address11705 Dorsett Rd Ste 205Maryland Heights, MO 63043-2517 · (314) 739-1222 · Fax (314) 739-1094
Fax(314) 739-1094
Sole ProprietorYes
Enumeration DateAugust 30, 2006
Last NPPES UpdateJuly 13, 2026
NPPES CertifiedJuly 13, 2026
NPI 1366552440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MO · 15178
Definition
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.
11705 DORSETT RD STE 205, Maryland Heights, MO 63043

Other Names 1

Other Name (5)John Martin Dds

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. Daryl Johnathon Martin Jr. Dds 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 63043 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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 Daryl Martin's NPI number?

The NPI number for Daryl Martin is 1366552440. It was assigned to this individual provider in the NPPES registry on August 30, 2006. The provider is also known as John Martin Dds.

Where is Daryl Martin located?

Daryl Martin practices at 11705 Dorsett Rd Ste 205, Maryland Heights, MO 63043. The listed phone number is (314) 739-1222.

What is Daryl Martin's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Daryl Martin enrolled in Medicare?

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

What insurance does Daryl Martin accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 9 other insurers list Daryl 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 Daryl Martin was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.