Martinez & Zermeno III, a Professional Dental Corp

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

46886 Issued in CA

Legal business name

MARTINEZ & ZERMENO III, A PROFESSIONAL DENTAL CORP

Practice address

407 E Gilbert St Ste 5
San Bernardino, CA 92404-5325

Phone

(909) 885-7000

Fax

(909) 885-7008

NPI assigned

Dec 10, 2015

Last updated

Aug 5, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gabriel G. Martinez, DDS

Title

Ceo-President

Phone

(909) 469-6967

Specialties & licenses 1

Addresses

Other names 1

• Latin American Dental Office III Other name

Tax ID family

Latin American Dental Office III2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Martinez and Zermeno III Apdc

  • General Practice Dentistry
  • Corona, CA
  • NPI 1013352780
  NPD tax ID

Locations

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

{
    "created_epoch": "1449705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470355200000",
    "number": "1588039929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 E GILBERT ST STE 5",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924045325",
            "telephone_number": "909-885-7000",
            "fax_number": "909-885-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 E GILBERT ST STE 5",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924045325",
            "telephone_number": "909-885-7000",
            "fax_number": "909-885-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTINEZ & ZERMENO III, A PROFESSIONAL DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-10",
        "last_updated": "2016-08-05",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "CEO-PRESIDENT",
        "authorized_official_telephone_number": "909-469-6967",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "46886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Latin American Dental Office III",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Hannah Paulina Martin
• Hannah Rae Martin, RN
• Kyrah Martin
• Lynda Martin, LMFT
• Sindy Martin
• Isandra Adriana Martinez Loeza
• Brenda Martinez Madrigal
• Alexis Martinez
• Anahi A Martinez
• Andrea Lindsey Martinez

• General Practice Dentistry in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2016; 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.