Organization Active NPI

RGV Family Dentistry by Luz E Martinez DDS PLLC

  • General Practice Dentistry
  • Weslaco, TX
National Provider Identifier
1811235609
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
25435 Issued in TX
Legal business name
RGV FAMILY DENTISTRY BY LUZ E MARTINEZ DDS PLLC
Practice address
909 James Street
Suite G
Weslaco, TX 78596
Phone
(956) 968-3300
Fax
(956) 968-3306
NPI assigned
Jan 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2013

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

Authorized official

Name
Dr. Luz E Martinez, DDS
Title
Owner / Dentist
Phone
(956) 968-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 25435 TX Primary

Addresses

Primary practice location

909 James Street
Suite G
Weslaco, TX 78596

Mailing address

909 James Street
Suite G
Weslaco, TX 78596
Phone (956) 968-3300

Other identifiers 1

IdentifierTypeStateIssuer
1073832069MedicaidTX

National Provider Directory

National Provider Directory

Locations

909 James St
Ste G
Weslaco, TX 78596
Phone (956) 968-3300

NPI Registry JSON

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

{
    "created_epoch": "1359417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359417600000",
    "number": "1811235609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 JAMES STREET",
            "address_2": "SUITE G",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "78596",
            "telephone_number": "956-968-3300",
            "fax_number": "956-968-3306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 JAMES STREET",
            "address_2": "SUITE G",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "78596",
            "telephone_number": "956-968-3300",
            "fax_number": "956-968-3306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RGV FAMILY DENTISTRY BY LUZ E MARTINEZ DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-29",
        "last_updated": "2013-01-29",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "LUZ",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER / DENTIST",
        "authorized_official_telephone_number": "956-968-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073832069",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weslaco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; 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.