Organization Active NPI

Martinez Orthodontics LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Las Vegas, NV
National Provider Identifier
1447618244
Registry record updated Feb 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
S3-256 Issued in NV
Legal business name
MARTINEZ ORTHODONTICS LLC
Practice address
5775 S Rainbow Blvd
Ste 103
Las Vegas, NV 89118-2530
Phone
(702) 979-9799
Fax
(702) 979-9823
NPI assigned
Feb 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2016

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

Authorized official

Name
Dr. Freddie Martinez, DDS, MS
Title
Owner
Phone
(702) 979-9799

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X S3-256 NV Primary

Addresses

Primary practice location

5775 S Rainbow Blvd
Ste 103
Las Vegas, NV 89118-2530

Mailing address

5775 S Rainbow Blvd
Ste 103
Las Vegas, NV 89118-2530
Phone (702) 979-9799

National Provider Directory

National Provider Directory

Locations

5775 S Rainbow Blvd
Ste 103
Las Vegas, NV 89118
Phone (702) 979-9799

NPI Registry JSON

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

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454889600000",
    "number": "1447618244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5775 S RAINBOW BLVD",
            "address_2": "STE 103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891182530",
            "telephone_number": "702-979-9799",
            "fax_number": "702-979-9823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5775 S RAINBOW BLVD",
            "address_2": "STE 103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891182530",
            "telephone_number": "702-979-9799",
            "fax_number": "702-979-9823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTINEZ ORTHODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-08",
        "last_updated": "2016-02-08",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "FREDDIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-979-9799",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NV",
            "license": "S3-256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; 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.