Organization Active NPI

Jose M Martinez DMD II PA

  • Dentist
  • Jacksonville, FL
National Provider Identifier
1134494396
Registry record updated Mar 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
13951 Issued in FL
Legal business name
JOSE M MARTINEZ DMD II PA
Practice address
3546 Saint Johns Bluff Rd S
Unit 114
Jacksonville, FL 32224-2713
Phone
(904) 996-8162
NPI assigned
Mar 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2012

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

Authorized official

Name
Jose M Martinez, DMDNPI 1467511006
Title
Ownre/President
Phone
(904) 996-8162

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 13951 FL Primary

Addresses

Primary practice location

3546 Saint Johns Bluff Rd S
Unit 114
Jacksonville, FL 32224-2713

Mailing address

3546 Saint Johns Bluff Rd S
Unit 114
Jacksonville, FL 32224-2713
Phone (904) 996-8162

Other names 1

  • signature smiles Doing business as

National Provider Directory

National Provider Directory

Locations

3546 Saint Johns Bluff Rd S
Unit 114
Jacksonville, FL 32224
Phone (904) 996-8162

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332201600000",
    "number": "1134494396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3546 SAINT JOHNS BLUFF RD S",
            "address_2": "UNIT 114",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322242713",
            "telephone_number": "904-996-8162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3546 SAINT JOHNS BLUFF RD S",
            "address_2": "UNIT 114",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322242713",
            "telephone_number": "904-996-8162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE M MARTINEZ DMD II PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-20",
        "last_updated": "2012-03-20",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNRE/PRESIDENT",
        "authorized_official_telephone_number": "904-996-8162",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "13951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "signature smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; 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.