Individual provider Active NPI

David James Martinez, D.D.S

  • Pediatric Dentistry
  • Albuquerque, NM
National Provider Identifier
1659351955
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DD2427 Issued in NM
Practice address
4263 Montgomery Blvd NE
Suite 100
Albuquerque, NM 87109-6747
Phone
(505) 314-0645
Fax
(505) 314-0646
NPI assigned
Jan 20, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DD2427 NM Primary

Addresses

Primary practice location

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

Mailing address

7424 Gila Rd NE
Albuquerque, NM 87109-3808
Phone (505) 821-9206

Other identifiers 1

IdentifierTypeStateIssuer
11739509MedicaidNM

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

LicenseStateTypeSpecialty
DD2427NMMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
David J. Martinez Pediatric Dentistry Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dmartinez33354@ahs.direct-ci.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1659351955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7424 GILA RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093808",
            "telephone_number": "505-821-9206"
        },
        {
            "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",
            "fax_number": "505-314-0646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "DAVID",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NM",
            "license": "DD2427",
            "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 Jul 13, 2026; 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.