Active NPI
Eddie G Martinez, R.D.H
- Dental Hygienist
- El Paso, TX
National Provider Identifier
1194440545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 24695
- Practice address
- 8061 Alameda Ave
El Paso, TX 79915-4705 - Phone
- (915) 859-7545
- Fax
- (915) 859-9862
- NPI assigned
- Oct 7, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 24695 | TX | Primary |
Addresses
Primary practice location
8061 Alameda Ave
El Paso, TX 79915-4705
Mailing address
8061 Alameda Ave
El Paso, TX 79915-4705
Phone (915) 859-7545
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24695 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665100800000",
"number": "1194440545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8061 ALAMEDA AVE",
"city": "EL PASO",
"state": "TX",
"postal_code": "799154705",
"telephone_number": "915-859-7545",
"fax_number": "915-859-9862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8061 ALAMEDA AVE",
"city": "EL PASO",
"state": "TX",
"postal_code": "799154705",
"telephone_number": "915-859-7545",
"fax_number": "915-859-9862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "EDDIE",
"middle_name": "G",
"credential": "R.D.H",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-10-07",
"last_updated": "2022-10-07",
"certification_date": "2022-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "TX",
"license": "24695",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.