Active NPI
Rosario Fatima Martinez, DDS
- General Practice Dentistry
- Menlo Park, CA
National Provider Identifier
1336265636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 45319
- Practice address
- 3379 Middlefield Road
Menlo Park, CA 94025 - Phone
- (650) 780-9838
- Fax
- (650) 780-9989
- NPI assigned
- Mar 21, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 45319 | CA | Primary |
Addresses
Primary practice location
3379 Middlefield Road
Menlo Park, CA 94025
Mailing address
3379 Middlefield Road
Menlo Park, CA 94025
Phone (650) 780-9838
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G9259801 | Other | MEDICAL DENTAL PROVIDER # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45319 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186444800000",
"number": "1336265636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3379 MIDDLEFIELD ROAD",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "94025",
"telephone_number": "650-780-9838",
"fax_number": "650-780-9989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3379 MIDDLEFIELD ROAD",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "94025",
"telephone_number": "650-780-9838",
"fax_number": "650-780-9989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "ROSARIO",
"middle_name": "FATIMA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-21",
"last_updated": "2007-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "45319",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL DENTAL PROVIDER #",
"identifier": "G9259801",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Menlo Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.