Andrea Martinez, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D010058 Issued in AZ

Practice address

4731 E Southern Ave
Phoenix, AZ 85042-4150

Phone

(602) 481-4478

NPI assigned

Jun 19, 2018

Last updated

Jan 30, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Andrea Martinez LLC

  dba Southern Smiles

  • Dental Clinic/Center
  • Phoenix, AZ
  • NPI 1629678602
  NPD Authorized official
• Mark a Espinoza DDS PLLC

  • General Practice Dentistry
  • Phoenix, AZ
  • NPI 1437516507
  NPD (past)
• Midvale Park Dental Partners LLC

  dba Risas Dental and Braces

  • General Practice Dentistry
  • Tucson, AZ
  • NPI 1669026167
  NPD (past)

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1437643855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 N CITRUS RD",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853959204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4731 E SOUTHERN AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850424150",
            "telephone_number": "602-481-4478"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9315 N Central Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850202417",
            "country_code": "US",
            "telephone_number": "602-943-7297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "ANDREA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-19",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D010058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Albert P Martinez, MD
• Aleeyah Martinez, RBT
• Alyssa Renee Martinez
• Amaris Martinez
• Amy Martinez, RD
• Andria Martinez, MOT
• Angel Mario Martinez
• Anita W. Martinez, NP
• Anthony L Martinez, L.A.C.
• Augustine Martinez, LDO

• Dentist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.