Individual provider Active NPI

David Diaz Martinez, DMD, MD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Paris, TX
National Provider Identifier
1477880227
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
25006 Issued in TX
Practice address
3110 Lamar Ave
Paris, TX 75460-5020
Phone
(903) 905-8171
Fax
(903) 905-8172
NPI assigned
Nov 13, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 25006 TX Primary

Addresses

Primary practice location

3110 Lamar Ave
Paris, TX 75460-5020

Mailing address

3110 Lamar Ave
Paris, TX 75460-5020
Phone (903) 905-8171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jun 26, 2015 through Jun 26, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25006TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
David D. Martinez MD, DMD, PA Current Accepting new patients

Locations

3110 Lamar Ave
Paris, TX 75460
Phone (903) 204-4244

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1258070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1477880227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 LAMAR AVE",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754605020",
            "telephone_number": "903-905-8171",
            "fax_number": "903-905-8172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 LAMAR AVE",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754605020",
            "telephone_number": "903-905-8171",
            "fax_number": "903-905-8172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "DAVID",
        "middle_name": "DIAZ",
        "name_prefix": "Dr.",
        "credential": "DMD, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-13",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "TX",
            "license": "25006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TX

Sources for this page

Verify at the official NPI Registry.