Active NPI
Alexa Paige Martinelli, DMD
- Pediatric Dentistry
- Princess Anne, MD
National Provider Identifier
1720670516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 18471
- Practice address
- 12165 Elm St
Princess Anne, MD 21853-1358 - Phone
- (410) 651-5151
- Fax
- (410) 651-4256
- NPI assigned
- Feb 3, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 22DI03024700 | NJ | |
| Pediatric Dentistry | 1223P0221X | 18471 | MD | Primary |
Addresses
Primary practice location
12165 Elm St
Princess Anne, MD 21853-1358
Mailing address
PO Box 1978
Salisbury, MD 21802-1978
Phone (410) 749-1015
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 119591300 | Medicaid | MD |
Other names 1
- Ms. Alexa Paige Bonner
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250410001161 | PA | Order and Referring Only - Dentist | 4587188677 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18471 | MD | MD | Pediatric Dentist |
| 22DI03024700 | NJ | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743379200000",
"number": "1720670516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1978",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218021978",
"telephone_number": "410-749-1015",
"fax_number": "410-749-0654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12165 ELM ST",
"city": "PRINCESS ANNE",
"state": "MD",
"postal_code": "218531358",
"telephone_number": "410-651-5151",
"fax_number": "410-651-4256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINELLI",
"first_name": "ALEXA",
"middle_name": "PAIGE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-03",
"last_updated": "2025-03-31",
"certification_date": "2025-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NJ",
"license": "22DI03024700",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "MD",
"license": "18471",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "119591300",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ALEXA",
"last_name": "BONNER",
"middle_name": "PAIGE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Princess Anne, MD
- Maple Shade Youth & Family Services, Inc.
- Maple Shade Youth and Family Services, Inc.
- Donna M Markham, RDH
- Elizabeth Andrea Marshall, BA
- Sara Richelle Martin, LCSW-C
- Jeremy Keith Masenior, DDS
- Ricky Allan Mason, D.D.S
- McCready Foundation, Inc (McCready Health Imaging)
- McCready Foundation, Inc (McCready Health Immediate Care)
- Michele Yvette McIntosh
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.