NPIMap

Organization Active NPI

Martineau Dentistry

  • General Practice Dentistry
  • Surprise, AZ
National Provider Identifier
1215489141
Registry record updated Oct 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D6112 Issued in AZ
Legal business name
MARTINEAU DENTISTRY
Practice address
15341 W Waddell Rd
Suite B107
Surprise, AZ 85379-5169
Phone
(623) 975-3933
Fax
(623) 975-3493
NPI assigned
Oct 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2016

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

Authorized official

Name
Brent Martineau, D.M.D.
Title
Owner/Dentist
Phone
(623) 975-3933

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D6112 AZ Primary

Addresses

Primary practice location

15341 W Waddell Rd
Suite B107
Surprise, AZ 85379-5169

Mailing address

15341 W Waddell Rd
Suite B107
Surprise, AZ 85379-5169
Phone (623) 975-3933

National Provider Directory

National Provider Directory
Tax ID family
Martineau Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

15341 W Waddell Rd
Ste B107
Surprise, AZ 85379
Phone (623) 226-8225

NPI Registry JSON

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477440000000",
    "number": "1215489141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15341 W WADDELL RD",
            "address_2": "SUITE B107",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853795169",
            "telephone_number": "623-975-3933",
            "fax_number": "623-975-3493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15341 W WADDELL RD",
            "address_2": "SUITE B107",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853795169",
            "telephone_number": "623-975-3933",
            "fax_number": "623-975-3493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTINEAU DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-26",
        "last_updated": "2016-10-26",
        "status": "A",
        "authorized_official_last_name": "MARTINEAU",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "623-975-3933",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D6112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; 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.