NPIMap

Organization Active NPI

Luis E. Martinez, D.M.D., P.a.

  • Dentist
  • St Petersburg, FL
National Provider Identifier
1366884801
Registry record updated Jul 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
LUIS E. MARTINEZ, D.M.D., P.A.
Practice address
3770 16TH St N
St Petersburg, FL 33704-1020
Phone
(727) 526-3868
Fax
(727) 527-1921
NPI assigned
Jul 25, 2013
Last updated
Jul 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2013

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

Authorized official

Name
Dr. Luis E Martinez, D.M.D., P.A.NPI 1528125010
Title
President
Phone
(727) 526-3868

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X Primary

Addresses

Primary practice location

3770 16TH St N
St Petersburg, FL 33704-1020

Mailing address

3770 16TH St N
St Petersburg, FL 33704-1020
Phone (727) 526-3868

National Provider Directory

National Provider Directory

Locations

3770 16th St N
St Petersburg, FL 33704
Phone (727) 526-3868

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1374710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374710400000",
    "number": "1366884801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3770 16TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337041020",
            "telephone_number": "727-526-3868",
            "fax_number": "727-527-1921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3770 16TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337041020",
            "telephone_number": "727-526-3868",
            "fax_number": "727-527-1921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIS E. MARTINEZ, D.M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-25",
        "last_updated": "2013-07-25",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-526-3868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D., P.A."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; 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.