Omar Calvillo Martinez

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

Practice address

1175 Hart St
Yuma, AZ 85369

Phone

(909) 927-2831

NPI assigned

Dec 10, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1659977940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1ST DNBN ATTN: CREDENTIALS BOX 555221",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920555221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 HART ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "85369",
            "telephone_number": "909-927-2831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALVILLO MARTINEZ",
        "first_name": "OMAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-10",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Michelle Caldwell
• Shanna R Cale, M. ED., CCC-SLP
• California Dermatology Institute PC
• Clarissa Callahan
• Marissa Ann Callahan
• Josephina Camacho Garcia, MA
• Bianca Camarillo, RBT
• Scarlet Veronica Canal-Estevez
• Lorena Cancino Gacharna, M.D.
• Candice Jensen MD PLLC

• Dental Hygienist in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Dental Hygienist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; 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.