Individual provider Active NPI

Veronica M Martinez, DDS

  • Pediatric Dentistry
  • Scottsdale, AZ
National Provider Identifier
1508984170
Registry record updated Jan 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
D008464 Issued in AZ
Practice address
7600 E Camelback Rd Ste 8
Scottsdale, AZ 85251-2106
Phone
(480) 282-6746
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X D008464 AZ Primary

Addresses

Primary practice location

7600 E Camelback Rd Ste 8
Scottsdale, AZ 85251-2106

Mailing address

4400 N Scottsdale Rd Ste 9-527
Scottsdale, AZ 85251-3331
Phone (480) 430-7706

Other identifiers 1

IdentifierTypeStateIssuer
33802700MedicaidWI

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

LicenseStateTypeSpecialty
D008464AZMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Dental Specialty Group LLC Pediatric Dentistry CurrentSince Nov 27, 2022 Accepting new patients
Pediatric Tongue Tie Current Accepting new patients

Locations

7600 E Camelback Rd
Ste 8
Scottsdale, AZ 85251
Phone (480) 282-6746

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.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547078400000",
    "number": "1508984170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 N SCOTTSDALE RD STE 9-527",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852513331",
            "telephone_number": "480-430-7706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 E CAMELBACK RD STE 8",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852512106",
            "telephone_number": "480-282-6746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "VERONICA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2019-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AZ",
            "license": "D008464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33802700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; 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.