NPIMap

Organization Active NPI

Martinez Dental Office

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1477845113
Registry record updated May 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
20546 Issued in CA
Legal business name
MARTINEZ DENTAL OFFICE
Practice address
2228 W 7TH St
Los Angeles, CA 90057-4002
Phone
(213) 381-7400
NPI assigned
May 13, 2011
Last updated
May 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2011

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

Authorized official

Name
Speed Fry
Title
Manager
Phone
(213) 381-7400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 20546 CA Primary

Addresses

Primary practice location

2228 W 7TH St
Los Angeles, CA 90057-4002

Mailing address

2228 W 7TH St
Los Angeles, CA 90057-4002
Phone (213) 381-7400

National Provider Directory

National Provider Directory
Tax ID family
Arthur G Kaiser8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1305244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305244800000",
    "number": "1477845113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2228 W 7TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900574002",
            "telephone_number": "213-381-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2228 W 7TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900574002",
            "telephone_number": "213-381-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTINEZ DENTAL OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-13",
        "last_updated": "2011-05-13",
        "status": "A",
        "authorized_official_last_name": "FRY",
        "authorized_official_first_name": "SPEED",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "213-381-7400"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "20546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2011; 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.