Active NPI
Martin Romero Sr., DMD
- Public Health Dentistry
- Buckeye, AZ
National Provider Identifier
1689396145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health Dentistry
- License
- D011572
- Practice address
- 825 S Watson Rd Ste 101
Buckeye, AZ 85326-3435 - Phone
- (623) 386-7319
- NPI assigned
- Sep 13, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | D011572 | AZ | Primary |
Addresses
Primary practice location
825 S Watson Rd Ste 101
Buckeye, AZ 85326-3435
Mailing address
825 S Watson Rd Ste 101
Buckeye, AZ 85326-3435
Phone (623) 386-7319
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
| License | State | Type | Specialty |
|---|---|---|---|
| D011572 | AZ | MD | Public Health Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sundance Dental Group, LLP | Current | Accepting new patients |
Locations
825 S Watson Rd
Ste 101
Buckeye, AZ 85326
Phone (623) 386-7319
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 and National Provider Directory roles.
-
- General Practice Dentistry
- Buckeye, AZ
- NPI 1487842423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663027200000",
"number": "1689396145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 S WATSON RD STE 101",
"city": "BUCKEYE",
"state": "AZ",
"postal_code": "853263435",
"telephone_number": "623-386-7319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 S WATSON RD STE 101",
"city": "BUCKEYE",
"state": "AZ",
"postal_code": "853263435",
"telephone_number": "623-386-7319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMERO",
"first_name": "MARTIN",
"name_suffix": "Sr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-09-13",
"last_updated": "2022-09-13",
"certification_date": "2022-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "AZ",
"license": "D011572",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buckeye, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.