Lucila Cardenas Martinez Castillo, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901017026 Issued in MI

Practice address

2104 Jolly Rd
Suite 260
Okemos, MI 48864-6038

Phone

(517) 381-9999

Fax

(517) 381-0920

NPI assigned

Jan 10, 2007

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

Other names 1

• Dr. Lucita Cardenas Martinez Other name

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lucila.martinezcastillo.p1@direct.ichd.nextgenshare.com

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.

• Smiles of Michigan, PC

  • Dental Clinic/Center
  • Okemos, MI
  • NPI 1174243018
  NPD Authorized official

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197676800000",
    "number": "1609925304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 JOLLY RD",
            "address_2": "SUITE 260",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488646038",
            "telephone_number": "517-381-9999",
            "fax_number": "517-381-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 JOLLY RD",
            "address_2": "SUITE 260",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488646038",
            "telephone_number": "517-381-9999",
            "fax_number": "517-381-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ CASTILLO",
        "first_name": "LUCILA",
        "middle_name": "CARDENAS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901017026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUCITA",
            "last_name": "MARTINEZ",
            "middle_name": "CARDENAS",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Danielle Christine Martin, NP
• Jennifer Ann Martin
• Jessica Afton Martin, LLMSW
• Jillian Martin
• Tara Martin
• Maria Martinez-Tejeda
• Mariah Martinez
• Zariah Marzette-Brown
• Amit Kumar Masih, MD
• Candace Lee Mason, MA, LPC-S, NCC, CFRC

• General Practice Dentistry in Okemos, MI
• Providers in Okemos, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.