Doctor profile · Federal record
Dr. Charissa Martin, DMD
General Practice Dentistry · General Practice Dentistry · Boulder, MT
- NPI 1902884752
- 20 yrs on file
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
211 North Main Street
Boulder, MT 59631
(406) 225-4222
fax (406) 225-4222
Credentials & registration
- NPI registered
- January 2006 — 20 yrs on file
- Profile last updated
- March 7, 2023
- Specialty taxonomy
- 1223G0001X — NUCC code
- State licenses (2)
- Montana #2386 · Oregon #D8602
- Medicaid
- NC #5901637
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1902884752. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$2,698
Transactions
26
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| ZIMVIE INC. | 26 | $2,697.97 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
31
Patients
25
Total drug cost
$131
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 18 | 13 | $63 |
| Penicillin V Potassium | Generic | 13 | 12 | $68 |
Frequently asked questions
What is Dr. Charissa Martin's medical specialty?
Dr. Charissa Martin practices General Practice Dentistry in Boulder, MT.
Where does Dr. Charissa Martin practice?
Dr. Charissa Martin practices at 211 North Main Street, Boulder, MT 59631. Office phone: 4062254222.
What is Dr. Charissa Martin's NPI?
Dr. Charissa Martin's National Provider Identifier (NPI) is 1902884752, issued by NPPES.