Tina S Martinez, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

36978 Issued in CA

Practice address

9750 Miramar Rd
Suite 260
San Diego, CA 92126-4560

Phone

(858) 566-5050

Fax

(858) 566-7414

NPI assigned

May 18, 2013

Last updated

May 28, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Haider Faris DDS Inc.

  dba Mira Mesa Dental and Implants

  • Dental Clinic/Center
  • San Diego, CA
  • NPI 1174346241
  NPD (past)
• Mira Mesa Dental & Orthodontic Office

  • General Practice Dentistry
  • San Diego, CA
  • NPI 1124104336
  NPD (past)

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

{
    "created_epoch": "1368835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369699200000",
    "number": "1609212521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9750 MIRAMAR RD",
            "address_2": "SUITE 260",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264560",
            "telephone_number": "858-566-5050",
            "fax_number": "858-566-7414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9750 MIRAMAR RD",
            "address_2": "SUITE 260",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264560",
            "telephone_number": "858-566-5050",
            "fax_number": "858-566-7414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "TINA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-18",
        "last_updated": "2013-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "36978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Rafael Martinez
• Tammy J Martinez, M.A.
• Teodoro H Martinez
• Tessa Martinez
• Theresa Rose Martinez
• Tyler Jay Martinez, SFIDC
• Valeria Nicole Martinez
• Vanessa Martinez, LMFT 87602
• Venessa Martinez
• Viany Martinez

• General Practice Dentistry in San Diego, CA
• Providers in San Diego, 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 May 28, 2013; 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.