Organization Active NPI

Nicole Martino DMD, P.a.

Doing business as Innovative Dental Solutions of Seminole

  • Dental Clinic/Center
  • Seminole, FL
National Provider Identifier
1316571383
Registry record updated Jul 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
NICOLE MARTINO DMD, P.A.
Doing business as
Innovative Dental Solutions of Seminole
Practice address
7603 Seminole Blvd Ste B
Seminole, FL 33772-4888
Phone
(727) 391-0269
NPI assigned
Feb 27, 2020
Last updated
Jul 24, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2021

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

Authorized official

Name
Dr. Nicole Martino, DMDNPI 1194108407
Title
President
Phone
(727) 391-0269

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary
Durable Medical Equipment & Medical Supplies 332B00000X NU

Addresses

Primary practice location

7603 Seminole Blvd Ste B
Seminole, FL 33772-4888

Mailing address

7603 Seminole Blvd Ste B
Seminole, FL 33772-4888
Phone (727) 391-0269

Other names 1

  • Innovative Dental Solutions of Seminole Doing business as

National Provider Directory

National Provider Directory

Locations

7603 Seminole Blvd
Ste B
Seminole, FL 33772
Phone (727) 391-0269

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1582761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627084800000",
    "number": "1316571383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7603 SEMINOLE BLVD STE B",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337724888",
            "telephone_number": "727-391-0269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7603 SEMINOLE BLVD STE B",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337724888",
            "telephone_number": "727-391-0269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE MARTINO DMD, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-27",
        "last_updated": "2021-07-24",
        "certification_date": "2021-07-24",
        "status": "A",
        "authorized_official_last_name": "MARTINO",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-391-0269",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innovative Dental Solutions of Seminole",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Innovative Dental Solutions of Seminole",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seminole, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2021; 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.