Maricruz Martinez, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0025458 Issued in TX

Practice address

5700 Arnold St
Tinker Afb, OK 73145-8105

Phone

(405) 734-2113

NPI assigned

Aug 2, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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 and National Provider Directory roles.

• Absentee Shawnee Tribal Health Authority, Inc.

  • General Practice Dentistry
  • Norman, OK
  • NPI 1629227897
  NPD (past)

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

{
    "created_epoch": "1312243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312243200000",
    "number": "1104104595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 ARNOLD ST",
            "city": "TINKER AFB",
            "state": "OK",
            "postal_code": "731458105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 ARNOLD ST",
            "city": "TINKER AFB",
            "state": "OK",
            "postal_code": "731458105",
            "telephone_number": "405-734-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "MARICRUZ",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-02",
        "last_updated": "2011-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "0025458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Matthew Lujan, DO
• Anne Tipay Magpuri, CPNP
• Sohrab Malakouti-Nejad, DOCTOR OF PHARMACY
• Benjamin Reid Martin, DPT
• Elisa Briana Garcia Martinez Moffitt, DDS
• Omar S. Martinez, PHARMD
• Bill Earl Mead III, DC
• Juan Fulgencio Mercado Guzman, PA-C
• Caitlin Elizabeth Michael, PA-C
• Diana Lee Mills, R.D.H.

• General Practice Dentistry in Tinker Afb, OK
• Providers in Tinker Afb, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; 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.