Active NPI
Edin Martinez
- Contractor
- Glendale, AZ
National Provider Identifier
1023211711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 9305
- Practice address
- 5425 N 80TH LN
Glendale, AZ 85303-5517 - Phone
- (623) 872-9122
- NPI assigned
- Jun 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 9305 | AZ | Primary |
Addresses
Primary practice location
5425 N 80TH LN
Glendale, AZ 85303-5517
Mailing address
5425 N 80TH LN
Glendale, AZ 85303-5517
Phone (623) 872-9122
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186444800000",
"number": "1023211711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5425 N 80TH LN",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853035517",
"telephone_number": "623-872-9122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5425 N 80TH LN",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853035517",
"telephone_number": "623-872-9122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "EDIN",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-08",
"last_updated": "2007-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "AZ",
"license": "9305",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.