Active NPI
Pedro Javier Martinez, D.M.D.
- General Practice Dentistry
- New Port Richey, FL
National Provider Identifier
1487705307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN16023
- Practice address
- 8532 Old CR 54
Greenbrook Plaza
New Port Richey, FL 34653 - Phone
- (727) 372-9669
- Fax
- (727) 372-5022
- NPI assigned
- Jan 16, 2007
- 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 | DN16023 | FL | Primary |
Addresses
Primary practice location
8532 Old CR 54
Greenbrook Plaza
New Port Richey, FL 34653
Mailing address
1320 Lake Polo Dr
Odessa, FL 33556-1700
Phone (813) 785-9807
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN16023 | FL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Dental Designs Incorporated | Current | Accepting new patients | |
| Maria Claudia Alvarado LLC | Past | Accepting new patients |
Locations
8532 Old County Road 54
New Port Richey, FL 34653
Phone (727) 372-9669
Networks
- Freedom Health HMO Network
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.
-
- Durable Medical Equipment & Medical Supplies
- New Port Richey, FL
- NPI 1790302685
-
- Dentist
- New Port Richey, FL
- NPI 1942042965
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354752000000",
"number": "1487705307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 LAKE POLO DR",
"city": "ODESSA",
"state": "FL",
"postal_code": "335561700",
"telephone_number": "813-785-9807",
"fax_number": "727-372-5022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8532 OLD CR 54",
"address_2": "GREENBROOK PLAZA",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "34653",
"telephone_number": "727-372-9669",
"fax_number": "727-372-5022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "PEDRO",
"middle_name": "JAVIER",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-16",
"last_updated": "2012-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN16023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Port Richey, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.