Individual provider Active NPI

Maria Valentina Martinez Morales, DMD

  • General Practice Dentistry
  • Deming, NM
National Provider Identifier
1740894658
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DD5321 Issued in NM
Practice address
710 S Gold Ave
Deming, NM 88030-4161
Phone
(575) 546-1400
NPI assigned
Sep 8, 2020
Last updated
Sep 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DD5321 NM Primary

Addresses

Primary practice location

710 S Gold Ave
Deming, NM 88030-4161

Mailing address

710 S Gold Ave
Deming, NM 88030-4161
Phone (575) 546-1400

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

LicenseStateTypeSpecialty
DD5321NMMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Deming Southwest Dental, LLC Current Accepting new patients

Locations

710 S Gold Ave
Deming, NM 88030
Phone (575) 546-1177

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1740894658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 S GOLD AVE",
            "city": "DEMING",
            "state": "NM",
            "postal_code": "880304161",
            "telephone_number": "575-546-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 S GOLD AVE",
            "city": "DEMING",
            "state": "NM",
            "postal_code": "880304161",
            "telephone_number": "575-546-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ MORALES",
        "first_name": "MARIA",
        "middle_name": "VALENTINA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-08",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD5321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deming, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; 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.