DR. KIPPY GLYNN MARTIN DDS
NPI 1508929092
Dentist in Tahlequah, OK

Q: What is Kippy Martin's NPI number?

The NPI number for Kippy Martin is 1508929092. It was assigned to this individual provider in the NPPES registry on December 18, 2006.

Q: What is Kippy Martin's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kippy Martin was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 December 18, 2006PECOS Enrolled

100 S BLISS AVE, TAHLEQUAH, OK 74464(918) 458-3100(918) 458-3628 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Kippy Glynn Martin Dds NPPES

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

DR. KIPPY GLYNN MARTIN DDS (NPI 1508929092) is an individual dentist in Tahlequah, Oklahoma, licensed in Oklahoma (75052) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508929092

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. KIPPY GLYNN MARTINCredential: DDS

Location Address100 S BLISS AVETahlequah, OK 74464-2512

Mailing Address100 S Bliss AveTahlequah, OK 74464-2512 · (918) 458-3100 · Fax (918) 458-3628

Phone(918) 458-3100

Fax(918) 458-3628

Sole ProprietorNo

Enumeration DateDecember 18, 2006

Last NPPES UpdateJuly 9, 2007

✔ NPI 1508929092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in OK · 75052

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.

100 S BLISS AVE, Tahlequah, OK 74464

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Other Identifiers 1

Medicaid1305052OK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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. Kippy Glynn Martin 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 74464 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

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.68 – $132.40

Typical copayment $16.62 (range $4.17 – $33.10)

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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATRICK WAYNE SHARP DO

Emergency Medicine