| NPI | 1134019763 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2025-07-07 |
| Last Updated | 2025-07-07 |
| Mailing Address | 62 W Columbus Ave Corry, PA 16407-1136 United States Phone: (814) 665-3621 | Fax: (814) 664-4117 📍 View Map |
| Primary Practice Address | 62 W Columbus Ave Corry, PA 16407-1136 United States Phone: (814) 665-3621 | Fax: (814) 664-4117 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 122300000X – Dentist | PA | DS045257 |
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About NPI 1134019763
Tanner Martin DMD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1134019763. The primary specialty listed is Dentist. The provider is located in Corry, PA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2025-07-07. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1134019763?
NPI 1134019763 belongs to Tanner Martin DMD, a Dentist in Corry, PA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1134019763 active?
The current status of NPI 1134019763 in the NPPES registry is Active. The record was last updated on 2025-07-07.
What specialty is NPI 1134019763?
NPI 1134019763 is classified under the taxonomy Dentist. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1134019763?
You can verify NPI 1134019763 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1134019763?
The primary practice address on file for NPI 1134019763 is 62 W Columbus Ave, Corry, PA 16407-1136. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1134019763 issued?
NPI 1134019763 was first issued (enumerated) on 2025-07-07. The NPPES record was last updated on 2025-07-07.
Practice Location Map
Tanner Martin is located at 62 W Columbus Ave, Corry, PA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Tanner Martin. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1134019763. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Dentist | DS045257 | PA |