Individual provider Active NPI

Anthony Drew Martinez, DO

  • Student in an Organized Health Care Education/Training Program
  • San Antonio, TX
National Provider Identifier
1659076214
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
7615 Kennedy HL BLDG 1
San Antonio, TX 78235-4438
Phone
(210) 890-4243
NPI assigned
Apr 3, 2023
Last updated
Apr 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU Primary

Addresses

Primary practice location

7615 Kennedy HL BLDG 1
San Antonio, TX 78235-4438

Mailing address

7615 Kennedy HL BLDG 1
San Antonio, TX 78235-4438
Phone (210) 890-4243

Other practice location 1

2606 Hospital Blvd Ste B
Corpus Christi, TX 78405-1804
Phone (361) 902-4789

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL securerecords.sanford.html CHRISTUS TRINITY CLINIC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

NPI Registry JSON

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1659076214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7615 KENNEDY HL BLDG 1",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782354438",
            "telephone_number": "210-890-4243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7615 KENNEDY HL BLDG 1",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782354438",
            "telephone_number": "210-890-4243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2606 Hospital Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784051804",
            "country_code": "US",
            "telephone_number": "361-902-4789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "ANTHONY",
        "middle_name": "DREW",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-03",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "securerecords.sanford.html",
            "affiliation": "Y",
            "affiliationName": "CHRISTUS TRINITY CLINIC",
            "address_1": "2606 Hospital Blvd Ste B",
            "city": "Corpus Christi",
            "state": "TX",
            "country_code": "US",
            "postal_code": "784051804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.