Active NPI
Alex Martel, D.M.D.
- Dentist
- La Puente, CA
National Provider Identifier
1942442827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 47945
- Practice address
- 17311 East Valley Blvd.
Suite B
La Puente, CA 91744 - Phone
- (626) 810-2444
- NPI assigned
- Mar 24, 2009
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 47945 | CA | Primary |
Addresses
Primary practice location
17311 East Valley Blvd.
Suite B
La Puente, CA 91744
Mailing address
3601 W Hidden LN
Apt. #119
Rolling Hills Estates, CA 90274-4153
Phone (310) 801-8712
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160218001446 | CA | Order and Referring Only - Dentist | 8527363191 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47945 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vijay L. Pharar Dental Corporation | Dentist | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- La Puente, CA
- NPI 1497947154
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237852800000",
"number": "1942442827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 W HIDDEN LN",
"address_2": "APT. #119",
"city": "ROLLING HILLS ESTATES",
"state": "CA",
"postal_code": "902744153",
"telephone_number": "310-801-8712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17311 EAST VALLEY BLVD.",
"address_2": "SUITE B",
"city": "LA PUENTE",
"state": "CA",
"postal_code": "91744",
"telephone_number": "626-810-2444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTEL",
"first_name": "ALEX",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-03-24",
"last_updated": "2009-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "47945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Puente, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.