Active NPI
Martinez Dental PC
- General Practice Dentistry
- Chicago, IL
National Provider Identifier
1003088006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019027035
- Legal business name
- MARTINEZ DENTAL PC
- Practice address
- 3915 W 26TH St
Chicago, IL 60623 - Phone
- (773) 522-2929
- Fax
- (773) 522-2930
- NPI assigned
- Mar 31, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Leticia Martinez, DDS
- Title
- Dentist
- Phone
- (773) 522-2929
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019027035 | IL | Primary |
Addresses
Primary practice location
3915 W 26TH St
Chicago, IL 60623
Mailing address
3915 W 26TH St
Chicago, IL 60623
Phone (773) 522-2929
Other names 1
- UNIVERSAL DENTAL
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206921600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1279584000000",
"number": "1003088006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3915 W 26TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60623",
"telephone_number": "773-522-2929",
"fax_number": "773-522-2930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3915 W 26TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60623",
"telephone_number": "773-522-2929",
"fax_number": "773-522-2930"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARTINEZ DENTAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-31",
"last_updated": "2010-07-20",
"status": "A",
"authorized_official_last_name": "MARTINEZ",
"authorized_official_first_name": "LETICIA",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "773-522-2929",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019027035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "UNIVERSAL DENTAL",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chicago, IL
- Christopher John Martindale
- Justin B. Martindale, DC
- Patricia Martinez Brito
- Sybila Ismailia Martinez Chapa, M.D.
- Julianne Muus Martinez de Ubago, M.D.
- Maria Estela Martinez Escala, MD, PHD
- Martinez Family Dental P.C.
- Gretchen Martinez Feliciano, D.C.
- Abril Martinez Flores
- Ian Alejandro Martinez Flores
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.