David Michael Martinez, DMD
Individual provider
Active NPI
Dentist · Naples, FL
NPI 1336709062 · NPPES record last updated Jun 14, 2019
Key facts
- NPI
- 1336709062
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DN24235 (FL)
- Practice address
- 7430 Immokalee Rd Ste 102
Naples, FL 34119-1483
- Phone
- (239) 316-3763
- NPI assigned
- Jun 14, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
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.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|
| I20190917004224 |
FL |
Order and Referring Only - Dentist
Practitioner - Dentist |
3072843085 |
|
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|
| DN24235 | FL | MD | Dentist |
Practice roles (1 of 2)
Networks
- Freedom Health HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|
| Dentist |
122300000X |
DN24235 |
FL |
Yes |
Addresses
Primary practice location
7430 Immokalee Rd Ste 102
Naples, FL 34119-1483
Mailing address
8671 Addison Place Cir Unit 201
Naples, FL 34119-7849
Phone (786) 385-8110
Other identifiers
| Identifier | Type | State | Issuer |
|---|
| DN24235 | Other | FL | DENTAL LICENSE |