Active NPI
Hector Lee Martinez, DDS
- Dentist
- Roseville, CA
National Provider Identifier
1700948049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 40675
- Practice address
- 125 Ascot Dr Ste C
Roseville, CA 95661-3408 - Phone
- (916) 791-8834
- Fax
- (916) 791-6634
- NPI assigned
- Dec 14, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 40675 | CA | Primary |
Addresses
Primary practice location
125 Ascot Dr Ste C
Roseville, CA 95661-3408
Mailing address
125 Ascot Dr Ste C
Roseville, CA 95661-3408
Phone (916) 791-8834
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 843134 | Other | CA | INITED CONCORDIA |
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 |
|---|---|---|---|
| 40675 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700948049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 ASCOT DR STE C",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956613408",
"telephone_number": "916-791-8834",
"fax_number": "916-791-6634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 ASCOT DR STE C",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956613408",
"telephone_number": "916-791-8834",
"fax_number": "916-791-6634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "HECTOR",
"middle_name": "LEE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "40675",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INITED CONCORDIA",
"identifier": "843134",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.