Active NPI
Daniel Martinez-Tovar, RDH
- Dental Hygienist
- Tigard, OR
National Provider Identifier
1851837595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- H6253
- Practice address
- 9000 SW Durham Rd
Building 710
Tigard, OR 97224-5539 - Phone
- (503) 431-5775
- Fax
- (503) 431-5776
- NPI assigned
- Jan 18, 2017
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | H6253 | OR | Primary |
Addresses
Primary practice location
9000 SW Durham Rd
Building 710
Tigard, OR 97224-5539
Mailing address
PO Box 568
Cornelius, OR 97113-0568
Phone (503) 352-8657
Other names 1
- Daniel Martinez
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 |
|---|---|---|---|
| H6253 | OR | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Garcia Memorial Health Center | 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.
-
- Federally Qualified Health Center (FQHC)
- Tigard, OR
- NPI 1194099234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484697600000",
"number": "1851837595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 568",
"city": "CORNELIUS",
"state": "OR",
"postal_code": "971130568",
"telephone_number": "503-352-8657",
"fax_number": "503-352-8658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9000 SW DURHAM RD",
"address_2": "BUILDING 710",
"city": "TIGARD",
"state": "OR",
"postal_code": "972245539",
"telephone_number": "503-431-5775",
"fax_number": "503-431-5776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ-TOVAR",
"first_name": "DANIEL",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-01-18",
"last_updated": "2017-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "OR",
"license": "H6253",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DANIEL",
"last_name": "MARTINEZ",
"credential": "RDH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tigard, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.