Timothy Steven Martinez, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS58323 Issued in CA

Practice address

590 Palm Canyon Dr # 212
Borrego Springs, CA 92004-4000

Phone

(760) 767-5112

Fax

(760) 767-5613

NPI assigned

Jul 21, 2006

Last updated

Apr 20, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: tmartinez684777@direct.ochin.org

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.

• Dap Health, Inc.

  dba DAP Health-Woolcott Dental Clinic

  • Federally Qualified Health Center (FQHC)
  • Borrego Springs, CA
  • NPI 1093251910
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1659392272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8657 CAMDEN DR",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920713926",
            "telephone_number": "619-873-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 PALM CANYON DR # 212",
            "city": "BORREGO SPRINGS",
            "state": "CA",
            "postal_code": "920044000",
            "telephone_number": "760-767-5112",
            "fax_number": "760-767-5613"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Long Ave",
            "address_purpose": "LOCATION",
            "city": "South Wellfleet",
            "state": "MA",
            "postal_code": "02663",
            "country_code": "US",
            "telephone_number": "508-349-6300",
            "fax_number": "508-349-6385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "TIMOTHY",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "16633",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS58323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shrinda Gamache, DACM
• Denise Gordon, PSYCHOLOGIST
• James M Huot, M.D.
• Kathleen Sarah Johnson, PT
• Chris Marshall
• Pamela Thompson McEvoy, PHD PSYCHOLOGIST
• Mercy Air Service, Inc.
• Ann Morton Nourse, P.T.
• Ocotillo Wells Fire Rescue Department
• Unneetha Philomena Pruitt, R.N., N.P.

• General Practice Dentistry in Borrego Springs, CA
• Providers in Borrego Springs, 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 Apr 20, 2021; 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.