Mitisha Martin, DMD
NPI 1255592267 · Dentist · Louisville, KY
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mitisha Martin, DMD is a Dentist provider in Louisville, KY (NPI 1255592267).
Provider details
- NPI number
- 1255592267
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- License
- 8651 (KY)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 130 Evergreen RdLouisville, KY 40243-1489Phone: (502) 410-1710
Registry dates
- Enumerated
- 2008-06-23
- Last updated
- 2020-07-14
- Certified
- 2020-07-14
Frequently asked questions
- What is Mitisha Martin's NPI number?
- Mitisha Martin's National Provider Identifier (NPI) is 1255592267, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mitisha Martin's specialty?
- Mitisha Martin is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Mitisha Martin located?
- Mitisha Martin's practice location on file with NPPES is 5316 S. 3rd Street, Louisville, KY 40214.
- What is Mitisha Martin's phone number?
- The practice phone number listed in the NPPES registry for Mitisha Martin is (502) 276-8778.
- Does Mitisha Martin accept Medicare?
- Mitisha Martin is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mitisha Martin's NPI active?
- Yes — Mitisha Martin's NPI (1255592267) is active in the NPPES registry as of the last update on 2020-07-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.