Martin Dental-Airpark LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MARTIN DENTAL-AIRPARK LLC

Practice address

1775 E Queen Creek Rd Ste 130
Chandler, AZ 85286-2012

Phone

(480) 498-4191

Fax

(480) 586-7160

NPI assigned

Oct 25, 2019

Organization subpart

No

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

Authorized official

Name

Leanna Gonzales

Title

Office Coordinator

Phone

(480) 498-4191

Specialties & licenses 1

Addresses

Other names 1

• Martin Dental Airpark Doing business as

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Martin Dental

  • Dental Clinic/Center
  • Mesa, AZ
  • NPI 1073108890
  NPPES parent name

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

{
    "created_epoch": "1571961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571961600000",
    "number": "1073156709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20556 E PECAN LN STE 130",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851420504",
            "telephone_number": "480-498-4191",
            "fax_number": "480-586-7160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 E QUEEN CREEK RD STE 130",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852862012",
            "telephone_number": "480-498-4191",
            "fax_number": "480-586-7160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN DENTAL-AIRPARK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-25",
        "last_updated": "2019-10-25",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "LEANNA",
        "authorized_official_title_or_position": "OFFICE COORDINATOR",
        "authorized_official_telephone_number": "480-498-4191"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Martin Dental Airpark",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda M Marsh Williams, MD
• Olivia Marsh
• Ava Greer Marshall-Garza, PMHNP
• Thomas William Marston, MD
• Naomie Anika Martial
• Amy Marie Martin, FNP
• Angelique Martin
• Jai'Ya Michelle Martin
• Julissa Martin
• Michael C Martin, DC

• General Practice Dentistry in Chandler, AZ
• Providers in Chandler, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; 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.