Alfredo Velasco Martinez, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13316 Issued in NC

Practice address

3445 Henderson Dr
Jacksonville, NC 28546-5233

Phone

(910) 347-1283

Fax

(910) 347-2153

NPI assigned

Oct 7, 2019

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)

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.

• Lane and Associates Xliii DDS PA

  • Dentist
  • Jacksonville, NC
  • NPI 1467113332
  NPD
• Thomas E & Kimberly M Morgan DDS PA

  • General Practice Dentistry
  • Jacksonville, NC
  • NPI 1023133212
  NPD (past)

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1184265563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COMMANDING OFFICER",
            "address_2": "2D DENBN/NDC, PSC 20130 315 MCHUGH BLVD",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "285420130",
            "telephone_number": "910-451-2208",
            "fax_number": "910-451-8479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3445 HENDERSON DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285465233",
            "telephone_number": "910-347-1283",
            "fax_number": "910-347-2153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "COMMANDING OFFICER",
            "address_2": "2D DENBN/NDC, PSC 20130 315 MCHUGH BLVD",
            "address_purpose": "LOCATION",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "285420130",
            "country_code": "US",
            "telephone_number": "910-451-2208 x203",
            "fax_number": "910-451-8479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "ALFREDO",
        "middle_name": "VELASCO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-07",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "13316",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "104078",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Clare Martin, FNP
• Matthew Martin, PHARMD
• Travis Jones Martin Jr.
• Martin'S Pediatrics and Family Care
• Maria Martinez Estrada
• Jesus Ricardo Martinez, PA-C
• Kristina Ann Martinez
• Melissa S Martinez
• Mercedes Martinez
• Micaela Martinez

• General Practice Dentistry in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.