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DR. CRYSTAL MARTIN D.D.S.
NPI 1396758793
Dentist - General Practice in Ellisville, MO

Active since August 15, 2006PECOS Enrolled
277 CLARKSON RD, STE 100, ELLISVILLE, MO 63011(636) 227-0507(636) 591-0032 Get Directions Write a Review

NPPES record last updated: January 29, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Crystal Martin D.d.s. NPPES

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

DR. CRYSTAL MARTIN D.D.S. (NPI 1396758793) is an individual general practice provider in Ellisville, Missouri, licensed in Missouri (15403) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396758793
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. CRYSTAL MARTINCredential: D.D.S.
Location Address277 CLARKSON RD, STE 100Ellisville, MO 63011
Mailing Address277 Clarkson Rd, Ste 100Ellisville, MO 63011 · (636) 227-0507 · Fax (636) 591-0032
Phone(636) 227-0507
Fax(636) 591-0032
Sole ProprietorYes
Enumeration DateAugust 15, 2006
Last NPPES UpdateJanuary 29, 2016
✔ NPI 1396758793 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 · 15403
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.
277 CLARKSON RD, STE 100, Ellisville, MO 63011
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.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. Crystal Martin D.d.s. 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 63011 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 Crystal Martin's NPI number?

The NPI number for Crystal Martin is 1396758793. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Where is Crystal Martin located?

Crystal Martin practices at 277 Clarkson Rd, Ste 100, Ellisville, MO 63011. The listed phone number is (636) 227-0507.

What is Crystal Martin's specialty?

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

Is Crystal Martin enrolled in Medicare?

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

What insurance does Crystal Martin accept?

Health plans from Humana list Crystal 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 Crystal Martin was last updated on January 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.