Hector Ramon Martinez Menchaca, D.D.S., M.S,

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

9393 Issued in KY

Practice address

501 S Preston St
Louisville, KY 40202-1701

Phone

(502) 852-5126

NPI assigned

Oct 4, 2013

Sex

Male

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

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1380844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389830400000",
    "number": "1457788481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S PRESTON ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021701",
            "telephone_number": "502-852-5126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S PRESTON ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021701",
            "telephone_number": "502-852-5126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ MENCHACA",
        "first_name": "HECTOR",
        "middle_name": "RAMON",
        "name_prefix": "Mr.",
        "credential": "D.D.S., M.S,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-04",
        "last_updated": "2014-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "KY",
            "license": "9393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Phelps Martin, LPCA
• William Martin
• Zachary Martin, PHARM.D.
• Lindsey Diane Martindale
• Sean F Martindale, APRN, FNP-C
• Alexis Martinez, PT, DPT
• Anya Martinez
• Gabriela Martinez
• Maylin Martinez, BEHAVIOR TECHNICIAN
• Serge Anthony Martinez, MD

• Pediatric Dentistry in Louisville, KY
• Providers in Louisville, KY by specialty
• Pediatric Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.