Martin Nunes, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

28304 Issued in TX

Practice address

188 W Parkway Blvd
Coppell, TX 75019-2228

Phone

(972) 745-7745

Fax

(972) 745-3166

NPI assigned

Jul 29, 2012

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

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.

• Martin Nunes DMD PLLC

  • Dental Clinic/Center
  • Coppell, TX
  • NPI 1194492413
  NPD Authorized official
• DSC Dental Grapevine PLLC

  dba The Grapevine Dentist

  • General Practice Dentistry
  • Grapevine, TX
  • NPI 1831524727
  NPD (past)

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

{
    "created_epoch": "1343520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1073869996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 W PARKWAY BLVD",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750192228",
            "telephone_number": "972-745-7745",
            "fax_number": "972-745-3166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 W PARKWAY BLVD",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750192228",
            "telephone_number": "972-745-7745",
            "fax_number": "972-745-3166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNES",
        "first_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-29",
        "last_updated": "2021-09-13",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "28304",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "28304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Texas Tongue Tie Center PLLC
• Northeast Anesthesia Associates, PLLC
• Northwest Anesthesia Associates, PLLC
• Novabloom Centers LLC
• Novabloom LLC
• David Nunez, OT
• Charles J O'Hearn, M.D.
• Elizabeth E Ocean, LPC
• Folashade Oduleye
• Stephanie Okeke, APRN

• General Practice Dentistry in Coppell, TX
• Providers in Coppell, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; 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.