Individual provider Active NPI

Guillermo Betancourt Martinez, DDS

  • General Practice Dentistry
  • Hondo, TX
National Provider Identifier
1487352019
Registry record updated Nov 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
39534 Issued in TX
Practice address
501 20TH St
Hondo, TX 78861-2507
Phone
(830) 426-3304
NPI assigned
Feb 22, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 39534 TX Primary

Addresses

Primary practice location

501 20TH St
Hondo, TX 78861-2507

Mailing address

501 20TH St
Hondo, TX 78861-2507
Phone (830) 426-3304

Other practice location 1

606 W Leona St
Dilley, TX 78017-3705
Phone (830) 965-1797

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

Practice roles

OrganizationSpecialtyStatusNew patients
G. Betancourt DDS PLLC CurrentSince Nov 24, 2024 Accepting new patients

Locations

501 20th St
Hondo, TX 78861
Phone (830) 426-3304

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": "1677024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731801600000",
    "number": "1487352019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 20TH ST",
            "city": "HONDO",
            "state": "TX",
            "postal_code": "788612507",
            "telephone_number": "830-426-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 20TH ST",
            "city": "HONDO",
            "state": "TX",
            "postal_code": "788612507",
            "telephone_number": "830-426-3304"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "606 W Leona St",
            "address_purpose": "LOCATION",
            "city": "Dilley",
            "state": "TX",
            "postal_code": "780173705",
            "country_code": "US",
            "telephone_number": "830-965-1797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BETANCOURT MARTINEZ",
        "first_name": "GUILLERMO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-22",
        "last_updated": "2024-11-17",
        "certification_date": "2024-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "39534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hondo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2024; 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.