Individual provider Active NPI

Elsa Mary Martinez Hernandez, DMD

  • Dentist
  • Miami Beach, FL
National Provider Identifier
1982392445
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
27960 Issued in FL
Practice address
2555 Collins Ave # C3
Miami Beach, FL 33140-4723
Phone
(305) 672-9698
NPI assigned
Apr 24, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 39020000X CA
Dentist 122300000X 27960 FL Primary

Addresses

Primary practice location

2555 Collins Ave # C3
Miami Beach, FL 33140-4723

Mailing address

18240 Mediterranean Blvd Apt 1105
Hialeah, FL 33015-5721
Phone (786) 203-9706

Other practice location 1

18240 Mediterranean Blvd Apt 1105
Hialeah, FL 33015-5721
Phone (786) 203-9706

Other practice location 2

6791 W Flagler St
Miami, FL 33144-2923
Phone (305) 261-0633

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

LicenseStateTypeSpecialty
39020000XCAMDClinical Social Worker
27960FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
CMC Dental Services Inc. Dentist Past Accepting new patients
CMC Dental Services Past Accepting new patients

Organizations & group practices 2

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": "1682294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1982392445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18240 MEDITERRANEAN BLVD APT 1105",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330155721",
            "telephone_number": "786-203-9706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 COLLINS AVE # C3",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331404723",
            "telephone_number": "305-672-9698"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18240 Mediterranean Blvd Apt 1105",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330155721",
            "country_code": "US",
            "telephone_number": "786-203-9706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6791 W Flagler St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331442923",
            "country_code": "US",
            "telephone_number": "305-261-0633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ HERNANDEZ",
        "first_name": "ELSA",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-24",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "CA",
            "license": "39020000X",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "27960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.