Patricia Elaine Martin, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DD4732 Issued in NM

Practice address

705 E University Ave Ste B
Las Cruces, NM 88001-5637

Phone

(575) 521-0127

Fax

(575) 521-0127

NPI assigned

Feb 18, 2018

Last updated

Oct 1, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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.

• University Family Dental PC

  • Dentist
  • Las Cruces, NM
  • NPI 1396174116
  NPD (past)

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

{
    "created_epoch": "1518912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1992205777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 E UNIVERSITY AVE STE B",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880015637",
            "telephone_number": "505-521-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 E UNIVERSITY AVE STE B",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880015637",
            "telephone_number": "575-521-0127",
            "fax_number": "575-521-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "PATRICIA",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-18",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "33194",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD4732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greg Martin
• Kimberly Martin, DMD
• Kyle Martin
• Margaret V. Martin
• Olivia Martin, MD
• Robert Howard Martin
• Scot A Martin, MD. PC.
• Desiree Danielle Martinez Wills, DNP, FNP-BC
• Roberta Martinez-Flores, MS CCC-SLP
• Blanca E Martinez-Rolle, PH.D.

• General Practice Dentistry in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• General Practice Dentistry in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.