Aquileo Martinez D.D.S., Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

42362 Issued in CA

Legal business name

AQUILEO MARTINEZ D.D.S., INC.

Practice address

7500 Rosecrans Ave
Paramount, CA 90723-2506

Phone

(562) 634-9142

Fax

(562) 634-5896

NPI assigned

Mar 15, 2007

Last updated

Jun 21, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

SAN LUIS DENTAL CENTERAs reported in NPPES

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

Authorized official

Name

Aquileo Martinez de la Cruz, DDS

Title

Owner

Phone

(323) 261-4838

Specialties & licenses 1

Addresses

Tax ID family

Aquileo Martinez DDS Inc2 organizations share this tax ID, including this one

Part of

Aquileo Martinez DDS Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Aquileo Martinez D.D.S., Inc.

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1295867414
  NPD tax ID

Locations

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340236800000",
    "number": "1659405454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 W YORKTOWN AVE",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906402555",
            "telephone_number": "323-721-7178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 ROSECRANS AVE",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907232506",
            "telephone_number": "562-634-9142",
            "fax_number": "562-634-5896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AQUILEO MARTINEZ D.D.S., INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAN LUIS DENTAL CENTER",
        "enumeration_date": "2007-03-15",
        "last_updated": "2012-06-21",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ DE LA CRUZ",
        "authorized_official_first_name": "AQUILEO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-261-4838",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Paramount, CA
• Providers in Paramount, 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 Jun 21, 2012; 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.