Organization Active NPI

Susan Martinez D.D.S. P.a.

  • General Practice Dentistry
  • Miami, FL
National Provider Identifier
1003964040
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN0013120 Issued in FL
Legal business name
SUSAN MARTINEZ D.D.S. P.A.
Practice address
13419 SW 56TH St
Miami, FL 33175-6117
Phone
(305) 559-2663
Fax
(305) 559-3040
NPI assigned
Jan 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Dr. Susana Martinez, D.D.S.
Title
Owner
Phone
(305) 559-2663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DN0013120 FL Primary

Addresses

Primary practice location

13419 SW 56TH St
Miami, FL 33175-6117

Mailing address

13419 SW 56TH St
Miami, FL 33175-6117
Phone (305) 559-2663

National Provider Directory

National Provider Directory

Locations

13419 SW 56th St
Miami, FL 33175
Phone (305) 559-2663

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1003964040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13419 SW 56TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756117",
            "telephone_number": "305-559-2663",
            "fax_number": "305-559-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13419 SW 56TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756117",
            "telephone_number": "305-559-2663",
            "fax_number": "305-559-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN MARTINEZ D.D.S. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "SUSANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-559-2663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN0013120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.