Brent N. Martineau

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D6112 Issued in AZ

Practice address

105 N Litchfield Rd
Goodyear, AZ 85338-1617

Phone

(623) 932-3200

Fax

(623) 932-3222

NPI assigned

Jun 29, 2006

Last updated

Mar 5, 2008By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Martineau Dentistry

  • General Practice Dentistry
  • Surprise, AZ
  • NPI 1215489141
  Authorized official Same address or phone
• Martineau Dentistry PLLC

  • General Practice Dentistry
  • Surprise, AZ
  • NPI 1376713362
  Authorized official Same address or phone
• Katsur Dental of Arizona, Inc.

  dba Katsur Dental of Arizona

  • General Practice Dentistry
  • Goodyear, AZ
  • NPI 1174771612
  NPD (past)
• Southwest Dental Center, Inc

  dba Sun West Dental Center

  • Dentist
  • Goodyear, AZ
  • NPI 1508909300
  NPD (past)

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204675200000",
    "number": "1215965918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15341 W WADDELL RD",
            "address_2": "B-107",
            "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": "105 N LITCHFIELD RD",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853381617",
            "telephone_number": "623-932-3200",
            "fax_number": "623-932-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEAU",
        "first_name": "BRENT",
        "middle_name": "N.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2008-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D6112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha's Residential Care LLC (Martha's Residential Care LLC - Fairmount House)
• Kendra Renae Martin, MSW
• Kyla Jo Martin, M.S., OTR/L
• Maryann Martin
• Taliyah Danielle Martin, FNP
• Cheyenne Martinez
• Diego Martinez, DPT,PT
• Kathryn Leigh Martinez, ACNPC-AG
• Maritza Alvarado Martinez
• Zachary Martinez

• General Practice Dentistry in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.