Edmundo Manuel Martinez, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11437 Issued in TX

Practice address

4302 N 23Rd St
McAllen, TX 78504-4109

Phone

(956) 687-8065

Fax

(956) 687-1457

NPI assigned

Feb 2, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194863076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 N 23RD ST",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785044109",
            "telephone_number": "956-687-8065",
            "fax_number": "956-687-1457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 N 23RD ST",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785044109",
            "telephone_number": "956-687-8065",
            "fax_number": "956-687-1457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "EDMUNDO",
        "middle_name": "MANUEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "11437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cesar A Martinez, MD
• Daniela Martinez
• Danielle Martinez, M.S.
• Danny Martinez
• Dorys Martinez, PA-C
• Elvia Elizabeth Martinez, M. S., CCC-SLP
• Gabriel Felipe Martinez, P.A.-C
• Gerardo Martinez
• Graciela I Martinez, CRNA
• Grecia Vanessa Martinez, FNP

• General Practice Dentistry in McAllen, TX
• Providers in McAllen, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.