Kaleb Martineau, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D009464 Issued in AZ

Practice address

15341 W Waddell Rd Ste B107
Surprise, AZ 85379-5169

Phone

(623) 975-3933

NPI assigned

Jun 10, 2016

Last updated

Jan 11, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Martineau Dentistry PLLC

  • General Practice Dentistry
  • Surprise, AZ
  • NPI 1376713362
  NPD (past)
• Moyes Iverson Dental LLC

  • Dentist
  • Ogden, UT
  • NPI 1821155581
  NPD (past)

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1093164980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 E 5625 S STE 2",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844035067",
            "telephone_number": "801-475-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15341 W WADDELL RD STE B107",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853795169",
            "telephone_number": "623-975-3933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1770 E 5625 S Ste 2",
            "address_purpose": "LOCATION",
            "city": "South Ogden",
            "state": "UT",
            "postal_code": "844035067",
            "country_code": "US",
            "telephone_number": "801-475-1999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEAU",
        "first_name": "KALEB",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-10",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D9464",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D009464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kym Erin Martin, MA CCC-SLP
• Reyna Martin
• Tammey Martin
• Martineau Dentistry
• Martineau Dentistry PLLC
• Maria F Martinez Garcia
• Daisy Martinez
• Jay Martinez, ATC, LAT
• Leanna Martinez
• Michael David Martinez

• Dentist in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.