Individual provider Active NPI

Martin Juan Hernandez, DDS

  • General Practice Dentistry
  • Bradenton, FL
National Provider Identifier
1861083396
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30118 Issued in FL
Practice address
4016 Cortez Rd W Ste 1101
Bradenton, FL 34210-3117
Phone
(941) 756-4999
NPI assigned
Jan 27, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2023000828 MO
General Practice Dentistry 1223G0001X 105907 CA
General Practice Dentistry 1223G0001X 2023000828 MO
General Practice Dentistry 1223G0001X 30118 FL Primary

Addresses

Primary practice location

4016 Cortez Rd W Ste 1101
Bradenton, FL 34210-3117

Mailing address

5852 Sandy Pointe Dr
Sarasota, FL 34233-3514
Phone (941) 544-0146

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Sarasota Direct

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2023000828MOMDDentist
105907CAMDGeneral Practice Dentistry
30118FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Cortez Dentistry, PLLC General Practice CurrentSince Dec 21, 2025 Accepting new patients

Locations

4016 Cortez Rd W
Ste 1101
Bradenton, FL 34210
Phone (941) 756-4999

Networks

  • Freedom Health HMO Network

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.

NPI Registry JSON

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1861083396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5852 SANDY POINTE DR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342333514",
            "telephone_number": "941-544-0146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4016 CORTEZ RD W STE 1101",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342103117",
            "telephone_number": "941-756-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "MARTIN",
        "middle_name": "JUAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-27",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2023000828",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "105907",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2023000828",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "30118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Sarasota",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5852 Sandy Pointe Dr",
            "city": "Sarasota",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342333514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; 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.