Active NPI
David M Martinez
Doing business as LASA Dental Alliance
- Dental Clinic/Center
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- DAVID M MARTINEZ
- Doing business as
- LASA Dental Alliance
- Practice address
- 2023 Altamont Ave Ste 108
Fort Myers, FL 33901-3280 - Phone
- (786) 385-8110
- NPI assigned
- Dec 20, 2022
- Last updated
- Dec 20, 2022
- Organization subpart
- No
NPPES NPI Registry
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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
2023 Altamont Ave
Ste 108
Fort Myers, FL 33901
Phone (786) 385-8110
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dentist
- Naples, FL
- NPI 1336709062
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.