Elisandra Estrada Martinez, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN26814 Issued in FL

Practice address

11401 Hibbs Grove Dr
Cooper City, FL 33330-4444

Phone

(786) 366-1821

NPI assigned

Feb 18, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Networks

• Freedom Health HMO Network

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.

• Estrada Dental Studio LLC

  • General Practice Dentistry
  • Oakland Park, FL
  • NPI 1902641905
  NPD
• Faculty Associates, Inc

  • General Practice Dentistry
  • Hialeah, FL
  • NPI 1770537953
  NPD (past)

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1023641107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11401 HIBBS GROVE DR",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333304444",
            "telephone_number": "178-636-6182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11401 HIBBS GROVE DR",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333304444",
            "telephone_number": "786-366-1821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTRADA MARTINEZ",
        "first_name": "ELISANDRA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-18",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "DRPM2120",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN26814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023641107",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heily Echevarria Gomez
• Shanica Edwards, LCSW
• Endocrine Partners. PA.
• Pamela R Engel, SLPA
• Epicmed, LLC
• Parker Ewing, PA-C
• Express Vision Care, Inc.
• Fair Breeze LLC
• Family and Forensic Psychology PA
• Carol Elizabeth Farrell, MS, CCC-SLP

• General Practice Dentistry in Cooper City, FL
• Providers in Cooper City, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.