Maria Gema Island, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

0445000011 Issued in VA

Practice address

1500 Cornerside Blvd
Suite 310
Vienna, VA 22182-2433

Phone

(703) 790-1329

Fax

(703) 790-0455

NPI assigned

Oct 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Gema Martinez Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Island Childrens Dentistry PLLC

  • Pediatric Dentistry
  • Vienna, VA
  • NPI 1962071019
  NPD Authorized official

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390521600000",
    "number": "1386724409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 CORNERSIDE BLVD",
            "address_2": "310",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822433",
            "telephone_number": "703-970-1320",
            "fax_number": "703-790-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 CORNERSIDE BLVD",
            "address_2": "SUITE 310",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822433",
            "telephone_number": "703-790-1329",
            "fax_number": "703-790-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISLAND",
        "first_name": "MARIA",
        "middle_name": "GEMA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2014-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "0445000011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GEMA",
            "last_name": "MARTINEZ",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elizabeth Amelia Intermill, CFNP
• Internal Medicine Practice, P.C.
• Iris Dental Care
• Lizmar Irizarry-Sanabria
• Island Childrens Dentistry PLLC
• Naiem Tony Issa, M.D., PH.D.
• Mohsen Izadi, DDS
• J Kenneth Bowman DC Inc PC
• J. West Therapy LLC
• Jordan Jacomo

• Pediatric Dentistry in Vienna, VA
• Providers in Vienna, VA by specialty
• Pediatric Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.