Kippy Martin, DDS
NPI 1508929092 · Dentist · Tahlequah, OK
Enrolled with Medicare as Order and Referring Only - Other (physician) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kippy Martin, DDS is a Dentist provider in Tahlequah, OK (NPI 1508929092).
Provider details
- NPI number
- 1508929092
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 75052 (OK)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2006-12-18
- Last updated
- 2007-07-09
Frequently asked questions
- What is Kippy Martin's NPI number?
- Kippy Martin's National Provider Identifier (NPI) is 1508929092, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kippy Martin's specialty?
- Kippy Martin is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Kippy Martin located?
- Kippy Martin's practice location on file with NPPES is 100 S Bliss Ave, Tahlequah, OK 74464-2512.
- What is Kippy Martin's phone number?
- The practice phone number listed in the NPPES registry for Kippy Martin is (918) 458-3100.
- Does Kippy Martin accept Medicare?
- Kippy Martin is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kippy Martin's NPI active?
- Yes — Kippy Martin's NPI (1508929092) is active in the NPPES registry as of the last update on 2007-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.