Organization Active NPI

David J. Martinez

  • Pediatric Dentistry
  • Albuquerque, NM
National Provider Identifier
1649423773
Registry record updated Nov 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
2427 Issued in NM
Legal business name
DAVID J. MARTINEZ
Practice address
4263 Montgomery Blvd NE
Suite 100
Albuquerque, NM 87109-6747
Phone
(505) 314-0645
NPI assigned
Nov 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2008

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

Authorized official

Name
Dr. David James Martinez, DDSNPI 1659351955
Title
Dentist
Phone
(505) 314-0645

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 2427 NM Primary

Addresses

Primary practice location

4263 Montgomery Blvd NE
Suite 100
Albuquerque, NM 87109-6747

Mailing address

4263 Montgomery Blvd NE
Suite 100
Albuquerque, NM 87109-6747
Phone (505) 314-0645

Other identifiers 1

IdentifierTypeStateIssuer
11739509MedicaidNM

National Provider Directory

National Provider Directory

Locations

4263 Montgomery Blvd NE
Ste 100
Albuquerque, NM 87109
Phone (505) 314-0645

7500 Holly Ave NE
Ste 1
Albuquerque, NM 87113

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225670400000",
    "number": "1649423773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4263 MONTGOMERY BLVD NE",
            "address_2": "SUITE 100",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871096747",
            "telephone_number": "505-314-0645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4263 MONTGOMERY BLVD NE",
            "address_2": "SUITE 100",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871096747",
            "telephone_number": "505-314-0645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID J. MARTINEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-03",
        "last_updated": "2008-11-03",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "505-314-0645",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NM",
            "license": "2427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11739509",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; 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.