NPIMap

Organization Active NPI

Aquileo Martinez D.D.S., Inc.

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1295867414
Registry record updated Jun 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
42362 Issued in CA
Legal business name
AQUILEO MARTINEZ D.D.S., INC.
Practice address
4521 Whittier Blvd
Los Angeles, CA 90022-2407
Phone
(323) 261-4838
Fax
(323) 261-6399
NPI assigned
Mar 12, 2007
Organization subpart
Yes
Parent organization
SAN LUIS DENTAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 21, 2012

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

Authorized official

Name
Dr. Aquileo Martinez de la Cruz, D.D.S.
Title
Owner
Phone
(323) 261-4838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 42362 CA Primary

Addresses

Primary practice location

4521 Whittier Blvd
Los Angeles, CA 90022-2407

Mailing address

4521 Whittier Blvd
Los Angeles, CA 90022-2407
Phone (323) 261-4838

National Provider Directory

National Provider Directory
Tax ID family
Aquileo Martinez DDS Inc2 organizations share this tax ID, including this one
Part of
Aquileo Martinez DDS Inc

Other organizations with this tax ID 1

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

Locations

4521 Whittier Blvd
Los Angeles, CA 90022
Phone (323) 261-4838

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340236800000",
    "number": "1295867414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4521 WHITTIER BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900222407",
            "telephone_number": "323-261-4838",
            "fax_number": "323-261-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4521 WHITTIER BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900222407",
            "telephone_number": "323-261-4838",
            "fax_number": "323-261-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AQUILEO MARTINEZ D.D.S., INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAN LUIS DENTAL CENTER",
        "enumeration_date": "2007-03-12",
        "last_updated": "2012-06-21",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ DE LA CRUZ",
        "authorized_official_first_name": "AQUILEO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-261-4838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; 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.