Active NPI
Jose Maria Martinez, DMD
- General Practice Dentistry
- Jacksonville, FL
National Provider Identifier
1467511006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN0013951
- Practice address
- 6817 Southpoint Pkwy
Suite 302
Jacksonville, FL 32216-6282 - Phone
- (904) 296-6820
- Fax
- (904) 296-6825
- NPI assigned
- Dec 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN0013951 | FL | Primary |
Addresses
Primary practice location
6817 Southpoint Pkwy
Suite 302
Jacksonville, FL 32216-6282
Mailing address
6817 Southpoint Pkwy
Suite 302
Jacksonville, FL 32216-6282
Phone (904) 296-6820
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DN0013951 | Other | FL | DENTAL FLORIDA LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN0013951 | FL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jose Ma Martinez DMD PA | Past | Accepting new patients | |
| Jose M Martinez DMD II PA | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Jacksonville, FL
- NPI 1134494396
-
- Dentist
- Jacksonville, FL
- NPI 1831463017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467511006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6817 SOUTHPOINT PKWY",
"address_2": "SUITE 302",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322166282",
"telephone_number": "904-296-6820",
"fax_number": "904-296-6825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6817 SOUTHPOINT PKWY",
"address_2": "SUITE 302",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322166282",
"telephone_number": "904-296-6820",
"fax_number": "904-296-6825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "JOSE",
"middle_name": "MARIA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN0013951",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL FLORIDA LICENSE",
"identifier": "DN0013951",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.