Edeyanira Alexis Martinez, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

964 Issued in CA

Practice address

41 Echo Run
Irvine, CA 92614-7423

Phone

(970) 389-8591

NPI assigned

Jan 31, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Summit Community Care Clinic

  • Federally Qualified Health Center (FQHC)
  • Frisco, CO
  • NPI 1801181169
  NPD (past)
• Summit Community Care Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Frisco, CO
  • NPI 1831219328
  NPD (past)

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705190400000",
    "number": "1326744533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 ECHO RUN",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926147423",
            "telephone_number": "970-668-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 ECHO RUN",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926147423",
            "telephone_number": "970-389-8591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "360 Peak One Dr Ste 325",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "CO",
            "postal_code": "804435948",
            "country_code": "US",
            "telephone_number": "970-668-4040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "EDEYANIRA",
        "middle_name": "ALEXIS",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-31",
        "last_updated": "2024-01-14",
        "certification_date": "2024-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "DH.002024778",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Martinez
• Candida Geralynn Martinez
• Chantel Palenko Martinez, MFT
• Crishia Joyce Martinez, PA-C
• Damaris Martinez
• Elizabeth Martinez, FNP
• Gabriella Martinez
• Ivana Martinez
• Jasmine Martinez
• Julia Ann Martinez, LMFT

• Dental Hygienist in Irvine, CA
• Providers in Irvine, CA by specialty
• Dental Hygienist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2024; 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.