Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1083892863 Deactivated / Inactive NPI Male Practitioner

Dr. Marty Wayne Martin , DDS

Dentist - General Practice • Sparks, NV

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Marty Martin has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 04, 2008
NPI Deactivation Date March 20, 2024
Total Practice Duration ~16 Years of Practice (2008 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Marty Martin, DDS was a registered Dentist - General Practice practicing in Sparks, NV. Throughout an active medical career spanning 16 years, Dr. Martin provided care at the practice location at 5015 PYRAMID WAY UNIT 113 until profile deactivation on 2024-03-20.

Practice Location & Contact Primary Location

Practice Address

5015 Pyramid Way Unit 113

Sparks, NV 894367728

Telephone 7754243000
Fax 7754243005
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Sparks, NV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.0 Yrs
Regional Practice Density
44 Specialists

Practicing in Sparks, NV (1127 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NV 0823

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Ah Reum Park

Dentist - General Practice

NPI 1508208547

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 20, 2024

Record deactivated on March 20, 2024

NPI Profile Active June 15, 2016

NPI status registered as active in NPPES database

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Updated Practice Location June 15, 2016

Registered at 5015 PYRAMID WAY UNIT 113, SPARKS, NV 894367728 (Tel: 7754243000)

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Updated Business Mailing Address June 15, 2016

Registered at 526 S TONOPAH DR, STE. 200, LAS VEGAS, NV 891064043 (Tel: 7022912031)

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Provider Name / Credentials Updated June 15, 2016

Recorded as MARTY MARTIN, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2016

Dentist (License #0823 in NV)

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Initial NPI Registration & Enumeration February 04, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083892863
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 04, 2008
Last Update: June 15, 2016
Deactivation Date: March 20, 2024

Mailing Address

526 S Tonopah Dr, Ste. 200

Las Vegas, NV 891064043

Phone: 7022912031

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.