Active NPI
Monica Viviana Martinez Canon, DDS
- Dentist
- Tulare, CA
National Provider Identifier
1740166149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 111922
- Practice address
- 1500 W Tulare Dr
Tulare, CA 93274-3424 - Phone
- (559) 631-4042
- Fax
- (559) 556-0083
- NPI assigned
- Aug 12, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 111922 | CA | Primary |
Addresses
Primary practice location
1500 W Tulare Dr
Tulare, CA 93274-3424
Mailing address
1134 E Cartmill Ave
Tulare, CA 93274-9610
Phone (817) 821-6637
Other practice location 1
39804 Winchester Rd Ste B
Temecula, CA 92591-8320
Phone (951) 695-7100
Other practice location 2
2055 N Perris Blvd Ste E12
Perris, CA 92571-2518
Phone (951) 657-9965
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 |
|---|---|---|---|
| 111922 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perris Dental | Past | Accepting new patients |
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
- Perris, CA
- NPI 1861834988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1740166149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1134 E CARTMILL AVE",
"city": "TULARE",
"state": "CA",
"postal_code": "932749610",
"telephone_number": "817-821-6637",
"fax_number": "559-556-0083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 W TULARE DR",
"city": "TULARE",
"state": "CA",
"postal_code": "932743424",
"telephone_number": "559-631-4042",
"fax_number": "559-556-0083"
}
],
"practiceLocations": [
{
"address_1": "39804 Winchester Rd Ste B",
"address_purpose": "LOCATION",
"city": "Temecula",
"state": "CA",
"postal_code": "925918320",
"country_code": "US",
"telephone_number": "951-695-7100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2055 N Perris Blvd Ste E12",
"address_purpose": "LOCATION",
"city": "Perris",
"state": "CA",
"postal_code": "925712518",
"country_code": "US",
"telephone_number": "951-657-9965",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTINEZ CANON",
"first_name": "MONICA",
"middle_name": "VIVIANA",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-08-12",
"last_updated": "2026-07-13",
"certification_date": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "111922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tulare, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.