Organization Active NPI

Jeffrey Martins, DDS, PLLC

  • Dental Clinic/Center
  • Bradenton, FL
National Provider Identifier
1467075986
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JEFFREY MARTINS, DDS, PLLC
Doing business as
Paradise Dental
Practice address
1711 Lakewood Ranch Blvd
Bradenton, FL 34211-4906
Phone
(941) 962-8480
NPI assigned
May 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Authorized official

Name
Jeffrey Martins, DDSNPI 1003363672
Title
Owner and Dentist
Phone
(941) 962-8480

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1711 Lakewood Ranch Blvd
Bradenton, FL 34211-4906

Mailing address

6832 Bay Hill Dr
Lakewood Ranch, FL 34202-2500
Phone (941) 962-8480

Other names 1

  • Paradise Dental Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260414002132 FL DME Supplier - Oral Surgery - Dentist 1557837986 Practice locations: Bradenton, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1589846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1467075986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6832 BAY HILL DR",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342022500",
            "telephone_number": "941-962-8480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 LAKEWOOD RANCH BLVD",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342114906",
            "telephone_number": "941-962-8480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY MARTINS, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-19",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "MARTINS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER AND DENTIST",
        "authorized_official_telephone_number": "941-962-8480",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paradise Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.