Active NPI
Amy Dawn Martinez, DDS
- Dentist
- San Antonio, TX
National Provider Identifier
1851962773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 37347
- Practice address
- 608 Fair Ave
San Antonio, TX 78223-1304 - Phone
- (210) 336-8478
- NPI assigned
- Jul 2, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 37347 | TX | Primary |
Addresses
Primary practice location
608 Fair Ave
San Antonio, TX 78223-1304
Mailing address
10310 Mustang RDG
Converse, TX 78109-2462
Phone (210) 900-0721
Other practice location 1
10310 Mustang Rdg
Converse, TX 78109-2462
Phone (210) 900-0721
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 |
|---|---|---|---|
| 37347 | TX | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625184000000",
"number": "1851962773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10310 MUSTANG RDG",
"city": "CONVERSE",
"state": "TX",
"postal_code": "781092462",
"telephone_number": "210-900-0721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "608 FAIR AVE",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782231304",
"telephone_number": "210-336-8478"
}
],
"practiceLocations": [
{
"address_1": "10310 Mustang Rdg",
"address_purpose": "LOCATION",
"city": "Converse",
"state": "TX",
"postal_code": "781092462",
"country_code": "US",
"telephone_number": "210-900-0721",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTINEZ",
"first_name": "AMY",
"middle_name": "DAWN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-02",
"last_updated": "2021-07-02",
"certification_date": "2021-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "37347",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.