Yaritza Gutierrez-Martinez, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

020.017354 Issued in IL

Practice address

333 N la Grange Rd
La Grange Park, IL 60526-5646

Phone

(708) 745-5277

NPI assigned

Mar 6, 2023

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

• Yaritza Martinez Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1457051955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 KENT AVE",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "604461615",
            "telephone_number": "630-788-9733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N LA GRANGE RD",
            "city": "LA GRANGE PARK",
            "state": "IL",
            "postal_code": "605265646",
            "telephone_number": "708-745-5277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ-MARTINEZ",
        "first_name": "YARITZA",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "IL",
            "license": "020.017354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YARITZA",
            "last_name": "MARTINEZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cynthia Elena Gonzalez
• Cara Gray
• Grove of Lagrange Park LLC
• Robert John Groya, M.D.
• Kelly Grusecki
• Cynthia Guzman
• April Hall, RN
• Tahani Hammad, MSW
• Muhammad Haque, MD
• Alexandra Hatfield

• Dental Hygienist in La Grange Park, IL
• Providers in La Grange Park, IL by specialty
• Dental Hygienist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.