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IVAN A MARTINO D.D.S.
NPI 1487046991
Dentist in Pleasant Prairie, WI

Active since February 21, 2015PECOS Enrolled
10347 77TH ST, SUITE 630, PLEASANT PRAIRIE, WI 53158(262) 694-6360 Get Directions Write a Review

NPPES record last updated: April 12, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ivan A Martino D.d.s. NPPES

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

IVAN A MARTINO D.D.S. (NPI 1487046991) is an individual dentist in Pleasant Prairie, Wisconsin, licensed in Wisconsin (1001205) and active in the NPI registry since February 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487046991
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameIVAN A MARTINOCredential: D.D.S.
Location Address10347 77TH ST, SUITE 630Pleasant Prairie, WI 53158-1137
Mailing Address10347 77th St, Suite 630Pleasant Prairie, WI 53158-1137 · (262) 694-6360
Phone(262) 694-6360
Sole ProprietorYes
Enumeration DateFebruary 21, 2015
Last NPPES UpdateApril 12, 2017
✔ NPI 1487046991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in WI · 1001205✔ Licensed in IL · 019030078
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.
10347 77TH ST, Pleasant Prairie, WI 53158
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ivan A Martino 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 53158 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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 Ivan Martino's NPI number?

The NPI number for Ivan Martino is 1487046991. It was assigned to this individual provider in the NPPES registry on February 21, 2015.

Where is Ivan Martino located?

Ivan Martino practices at 10347 77th St Suite 630, Pleasant Prairie, WI 53158. The listed phone number is (262) 694-6360.

What is Ivan Martino's specialty?

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

Is Ivan Martino enrolled in Medicare?

Yes. Ivan Martino is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ivan Martino was last updated on April 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.