DR. JOHN A MARTIN D.D.S.
NPI 1508860040
Dentist - Periodontics in State College, PA

Q: What is John Martin's NPI number?

The NPI number for John Martin is 1508860040. It was assigned to this individual provider in the NPPES registry on June 13, 2005.

Q: What is John Martin's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Q: When was this NPI record last updated?

The NPPES record for John Martin was last updated on February 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since June 13, 2005PECOS Enrolled

2521 CARNEGIE DR, STATE COLLEGE, PA 16803(814) 234-4997(814) 234-4997 Get Directions Write a Review

NPPES record last updated: February 15, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. John A Martin D.d.s. NPPES

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

DR. JOHN A MARTIN D.D.S. (NPI 1508860040) is an individual periodontics provider in State College, Pennsylvania, licensed in Pennsylvania (DS018149L) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508860040

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameDR. JOHN A MARTINCredential: D.D.S.

Location Address2521 CARNEGIE DRState College, PA 16803-1157

Mailing Address2521 Carnegie DrState College, PA 16803-1157 · (814) 234-4997 · Fax (814) 234-4997

Phone(814) 234-4997

Fax(814) 234-4997

Sole ProprietorYes

Enumeration DateJune 13, 2005

Last NPPES UpdateFebruary 15, 2012

✔ NPI 1508860040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in PA · DS018149L

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

2521 CARNEGIE DR, State College, PA 16803

Open in Google Maps ↗

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. John A 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 16803 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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 John Martin's NPI number?

The NPI number for John Martin is 1508860040. It was assigned to this individual provider in the NPPES registry on June 13, 2005.

Where is John Martin located?

John Martin practices at 2521 Carnegie Dr, State College, PA 16803. The listed phone number is (814) 234-4997.

What is John Martin's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is John Martin enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for John Martin was last updated on February 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.