Juan Gerardo Martinez, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS101781 Issued in CA

Practice address

490 N Main St Ste 207
Corona, CA 92878-3461

Phone

(951) 444-7010

Fax

(951) 444-7181

NPI assigned

Sep 6, 2016

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Juan Gerardo Martinez Anaya Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Juan G. Martinez DDS, Inc

  • Dentist
  • Corona, CA
  • NPI 1750980140
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1473120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1003363243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2919 WILLOW RD",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948063723",
            "telephone_number": "510-697-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 N MAIN ST STE 207",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928783461",
            "telephone_number": "951-444-7010",
            "fax_number": "951-444-7181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "506 6th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112153609",
            "country_code": "US",
            "telephone_number": "718-780-5410",
            "fax_number": "718-780-5409",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "70 S Palm Ave",
            "address_purpose": "LOCATION",
            "city": "Alhambra",
            "state": "CA",
            "postal_code": "918013101",
            "country_code": "US",
            "telephone_number": "626-289-6131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "JUAN",
        "middle_name": "GERARDO",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-06",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS101781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUAN",
            "last_name": "MARTINEZ ANAYA",
            "middle_name": "GERARDO",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Irene F Martinez, LVN
• Isela Martinez
• Jaciel Martinez
• Jennifer Martinez
• Jocelyn Martinez, LMT MMT
• Kimberly Lynn Martinez, FNP
• Leslie Martinez
• Shamaria Janett Martinez
• Zitlaly Martinez
• Marian Martins

• General Practice Dentistry in Corona, CA
• Providers in Corona, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.