Individual provider Active NPI

Marifer Martinez-Lujan, DDS

  • General Practice Dentistry
  • Albuquerque, NM
National Provider Identifier
1093786618
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DD2511 Issued in NM
Practice address
8400 Osuna Rd NE
Suite 3B
Albuquerque, NM 87111-2087
Phone
(505) 292-7747
Fax
(505) 294-3557
NPI assigned
Jan 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DD2511 NM Primary

Addresses

Primary practice location

8400 Osuna Rd NE
Suite 3B
Albuquerque, NM 87111-2087

Mailing address

8400 Osuna Rd NE
Suite 3B
Albuquerque, NM 87111-2087
Phone (505) 292-7747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170608002754 NM Order and Referring Only - DentistPractitioner - Dentist 7911275219

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DD2511NMMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1093786618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 OSUNA RD NE",
            "address_2": "SUITE 3B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112087",
            "telephone_number": "505-292-7747",
            "fax_number": "505-294-3557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 OSUNA RD NE",
            "address_2": "SUITE 3B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112087",
            "telephone_number": "505-292-7747",
            "fax_number": "505-294-3557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ-LUJAN",
        "first_name": "MARIFER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-31",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD2511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.