Active NPI
Juan Carlos Martinez, DDS
- General Practice Dentistry
- Stafford, TX
National Provider Identifier
1255615977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 27433
- Practice address
- 10435 Greenbough Dr
Suite 300
Stafford, TX 77477-5000 - Phone
- (281) 261-0182
- Fax
- (281) 969-1764
- NPI assigned
- Sep 29, 2011
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 27433 | TX | Primary |
Addresses
Primary practice location
10435 Greenbough Dr
Suite 300
Stafford, TX 77477-5000
Mailing address
400 Austin St
Richmond, TX 77469-4406
Phone (281) 342-4530
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 286302907 | Medicaid | TX | |
| 27433 | Other | TX | LICENSE |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Houston Area Community Services, Inc. | Current | Accepting new patients |
Locations
2920 Fannin St
Houston, TX 77002
Phone (713) 341-3790
2150 W 18th St
Ste 300
Houston, TX 77008
Interoperability endpoints
- juan.martinez@accesshealth.directbygreenway.com
- juan.martinez@direct.accesshealth.nextgenshare.com
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Richmond, TX
- NPI 1972601169
-
dba Avenue 360 Health and Wellness
- Federally Qualified Health Center (FQHC)
- Houston, TX
- NPI 1477795417
-
dba Avenue 360 Health and Wellness
- Federally Qualified Health Center (FQHC)
- Houston, TX
- NPI 1053539262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781222400000",
"number": "1255615977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 AUSTIN ST",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774694406",
"telephone_number": "281-342-4530",
"fax_number": "281-344-8615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10435 GREENBOUGH DR",
"address_2": "SUITE 300",
"city": "STAFFORD",
"state": "TX",
"postal_code": "774775000",
"telephone_number": "281-261-0182",
"fax_number": "281-969-1764"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "JUAN",
"middle_name": "CARLOS",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-29",
"last_updated": "2026-06-12",
"certification_date": "2026-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "27433",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "286302907",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "27433",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stafford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; 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.