Austin Silvio Martinez, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019029951 Issued in IL

Practice address

1250 E US Highway 36
Tuscola, IL 61953-8020

Phone

(217) 253-4137

NPI assigned

Aug 4, 2014

Last updated

Aug 4, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Douglas County

  dba Douglas County Health Department

  • Public Health or Welfare Agency
  • Tuscola, IL
  • NPI 1659406163
  NPD (past)
• Douglas County

  • Public Health or Welfare Agency
  • Tuscola, IL
  • NPI 1912601204
  NPD (past)

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

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407110400000",
    "number": "1336558386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E MAIN ST",
            "address_2": "UNIT 408",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618203654",
            "telephone_number": "630-621-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E US HIGHWAY 36",
            "city": "TUSCOLA",
            "state": "IL",
            "postal_code": "619538020",
            "telephone_number": "217-253-4137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "AUSTIN",
        "middle_name": "SILVIO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-04",
        "last_updated": "2014-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019029951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Lackey
• Issac Lee, M.D.
• Todd Lehman, RPH
• Lehman's Pharmacy, LLC (The Pharmacy)
• Chan Lin, DMD
• Casey Christine McClain, LPC
• James Ray Means
• Marie Bernadette Mendoza, PT, DPT
• Nicholas Alexander Micka, D.C.
• Midwest Care Tuscola, LLC

• General Practice Dentistry in Tuscola, IL
• Providers in Tuscola, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; 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.