Active NPI
Martinez Family Dental P.C.
- General Practice Dentistry
- Chicago, IL
National Provider Identifier
1366758435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019027035
- Legal business name
- MARTINEZ FAMILY DENTAL P.C.
- Practice address
- 3915 W 26TH St
Chicago, IL 60623-3704 - Phone
- (773) 522-2929
- Fax
- (773) 522-2930
- NPI assigned
- Aug 26, 2010
- Last updated
- Sep 23, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Leticia Martinez, D.D.S.
- Title
- Dentist
- Phone
- (773) 522-2929
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019027035 | IL | Primary |
Addresses
Primary practice location
3915 W 26TH St
Chicago, IL 60623-3704
Mailing address
3915 W 26TH St
Chicago, IL 60623-3704
Phone (773) 522-2929
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- General Practice Dentistry
- Chicago, IL
- NPI 1720126683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282780800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1316736000000",
"number": "1366758435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3915 W 26TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606233704",
"telephone_number": "773-522-2929",
"fax_number": "773-522-2930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3915 W 26TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606233704",
"telephone_number": "773-522-2929",
"fax_number": "773-522-2930"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARTINEZ FAMILY DENTAL P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-26",
"last_updated": "2011-09-23",
"status": "A",
"authorized_official_last_name": "MARTINEZ",
"authorized_official_first_name": "LETICIA",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "773-522-2929",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019027035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
- Patricia Martinez Brito
- Sybila Ismailia Martinez Chapa, M.D.
- Julianne Muus Martinez de Ubago, M.D.
- Martinez Dental PC (Universal Dental)
- Maria Estela Martinez Escala, MD, PHD
- Gretchen Martinez Feliciano, D.C.
- Abril Martinez Flores
- Ian Alejandro Martinez Flores
- Luis Beltran Martinez Gil, DDS, MS
- Veronica Martinez Gonzalez
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.