Individual provider Active NPI

Dee Lawrence Martinez III, M.D.

  • Diagnostic Radiology Physician
  • Dallas, TX
National Provider Identifier
1437158581
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
J4327 Issued in TX
Practice address
2301 S Hampton Rd Ste 100
Dallas, TX 75224-1653
Phone
(214) 333-3600
Fax
(214) 333-0300
NPI assigned
Jul 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X J4327 TX Primary

Addresses

Primary practice location

2301 S Hampton Rd Ste 100
Dallas, TX 75224-1653

Mailing address

904 N Ewing Ave
Dallas, TX 75203-1163
Phone (214) 941-8901

Other practice location 1

904 N Ewing Ave
Dallas, TX 75203-1163
Phone (214) 941-8901

Other identifiers 1

IdentifierTypeStateIssuer
115837004MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040713001649 TX Practitioner - Diagnostic Radiology 0547248627 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Medical School at San Antonio, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2301 S Hampton Rd
Suite 100
Dallas, TX 75224-1653
Phone (214) 333-3600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Dee L Martinez MD PA Diagnostic Radiology CurrentSince Jul 26, 2010 Accepting new patients
North Texas Imaging Hampton Center II LTD CurrentSince Sep 25, 2000 Accepting new patients

Locations

2301 S Hampton Rd
Ste 100
Dallas, TX 75224
Phone (214) 333-3600

904 N Ewing Ave
Dallas, TX 75203
Phone (214) 941-8901

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Angel Care HospiceRichardson, TX, CCN 671675 Hospice 5% Or Greater Direct Ownership Interest (10%) Apr 1, 2012

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1437158581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 N EWING AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752031163",
            "telephone_number": "214-941-8901",
            "fax_number": "214-941-8903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 S HAMPTON RD STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752241653",
            "telephone_number": "214-333-3600",
            "fax_number": "214-333-0300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "904 N Ewing Ave",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752031163",
            "country_code": "US",
            "telephone_number": "214-941-8901",
            "fax_number": "214-941-8903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "DEE",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "J4327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115837004",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.