L Martinez P C

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

L MARTINEZ P C

Practice address

6144 S Pulaski Rd
Chicago, IL 60629-4628

Phone

(773) 522-2929

NPI assigned

Aug 6, 2018

Organization subpart

No

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

Authorized official

Name

Leticia Martinez, DDSNPI 1720126683

Title

Owner

Phone

(773) 522-2929

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leticia Martinez, D.D.S.

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1720126683
  NPD Authorized official
• Olga A Mendez, DDS

  • Dentist
  • Chicago, IL
  • NPI 1750681896
  NPD (past)

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

{
    "created_epoch": "1533513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533513600000",
    "number": "1679051296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4308 W 26TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606234338",
            "telephone_number": "773-522-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6144 S PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606294628",
            "telephone_number": "773-522-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L MARTINEZ P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-06",
        "last_updated": "2018-08-06",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "LETICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-522-2929",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; 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.