Organization Active NPI

David M Martinez

  • Dental Clinic/Center
  • Fort Myers, FL
National Provider Identifier
1285346338
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DAVID M MARTINEZ
Practice address
2023 Altamont Ave Ste 108
Fort Myers, FL 33901-3280
Phone
(786) 385-8110
NPI assigned
Dec 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Authorized official

Name
Dr. David Michael Martinez, DMD
Title
Dentist
Phone
(786) 385-8110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2023 Altamont Ave Ste 108
Fort Myers, FL 33901-3280

Mailing address

2250 McGregor Blvd Apt 1101
Fort Myers, FL 33901-3447
Phone (786) 385-8110

Other names 1

  • LASA Dental Alliance Doing business as

National Provider Directory

National Provider Directory

Locations

2023 Altamont Ave
Ste 108
Fort Myers, FL 33901
Phone (786) 385-8110

NPI Registry JSON

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

{
    "created_epoch": "1671494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671494400000",
    "number": "1285346338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 MCGREGOR BLVD APT 1101",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339013447",
            "telephone_number": "786-385-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2023 ALTAMONT AVE STE 108",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339013280",
            "telephone_number": "786-385-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID M MARTINEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-20",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-14",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "786-385-8110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LASA Dental Alliance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.

Verify at the official NPI Registry.