Active NPI
Oscar Mario Martinez III, D.D.S.
- Dentist
- San Antonio, TX
National Provider Identifier
1588976153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 25637
- Practice address
- 6018 West Ave
Suite #2
San Antonio, TX 78213-2729 - Phone
- (408) 835-3726
- NPI assigned
- Jul 11, 2010
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 25637 | TX | Primary |
Addresses
Primary practice location
6018 West Ave
Suite #2
San Antonio, TX 78213-2729
Mailing address
4818 Lyceum Dr
San Antonio, TX 78229-5038
Phone (210) 400-6363
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
| License | State | Type | Specialty |
|---|---|---|---|
| 25637 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278806400000",
"number": "1588976153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4818 LYCEUM DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782295038",
"telephone_number": "210-400-6363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6018 WEST AVE",
"address_2": "SUITE #2",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782132729",
"telephone_number": "408-835-3726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "OSCAR",
"middle_name": "MARIO",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-11",
"last_updated": "2010-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "25637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.