Organization Active NPI

Jesus E Martinez DDS Dental Corporation

  • Dental Clinic/Center
  • Montclair, CA
National Provider Identifier
1386322733
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JESUS E MARTINEZ DDS DENTAL CORPORATION
Doing business as
Montclair Valley Dental
Practice address
5467 Moreno St Ste a
Montclair, CA 91763-1682
Phone
(909) 602-1816
NPI assigned
Jul 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Authorized official

Name
Dr. Jesus Martinez, DDSNPI 1750405627
Title
Owner
Phone
(818) 984-3996

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

5467 Moreno St Ste a
Montclair, CA 91763-1682

Mailing address

5467 Moreno St Ste a
Montclair, CA 91763-1682
Phone (909) 602-1816

Other names 1

  • Montclair Valley Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1688601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689206400000",
    "number": "1386322733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5467 MORENO ST STE A",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917631682",
            "telephone_number": "909-602-1816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5467 MORENO ST STE A",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917631682",
            "telephone_number": "909-602-1816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESUS E MARTINEZ DDS DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-06",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "JESUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-984-3996",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montclair Valley Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montclair, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.