Lori Leyba Martinez, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

DH3203 Issued in NM

Practice address

608 La Joya St Ste B
Espanola, NM 87532-3467

Phone

(505) 753-9454

Fax

(505) 753-0850

NPI assigned

Dec 1, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• El Centro Family Health

  • Federally Qualified Health Center (FQHC)
  • Espanola, NM
  • NPI 1780689034
  NPD (past)
• El Centro Family Health

  • Federally Qualified Health Center (FQHC)
  • Espanola, NM
  • NPI 1952661282
  NPD (past)

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

{
    "created_epoch": "1322697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470700800000",
    "number": "1871861179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 158",
            "address_2": "538 N. PASEO DE ONATE",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875320158",
            "telephone_number": "505-753-7218",
            "fax_number": "505-747-7396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 LA JOYA ST STE B",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875323467",
            "telephone_number": "505-753-9454",
            "fax_number": "505-753-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEYBA MARTINEZ",
        "first_name": "LORI",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-01",
        "last_updated": "2016-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NM",
            "license": "DH3203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Leach, LPCC
• Bruce A Legler, MD
• Amber Leichtle, LMSW LADAC
• Lern Health Incorporated
• Enid D Lewis, RD
• Marie M Leyba, LMSW
• Juanita E. Lintecum, RDH
• Ana Hope Logghe, IBCLC, LMT
• Lyle Lomayma
• Kalu B Long, MD

• Dental Hygienist in Espanola, NM
• Providers in Espanola, NM by specialty
• Dental Hygienist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; 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.