Organization Active NPI

Mauricio Martinez DMD PA

  • General Practice Dentistry
  • Cape Coral, FL
National Provider Identifier
1992433312
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MAURICIO MARTINEZ DMD PA
Practice address
4905 Chiquita Blvd S Ste 104
Cape Coral, FL 33914-8907
Phone
(239) 549-0001
NPI assigned
Aug 12, 2022
Last updated
Aug 12, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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

Authorized official

Name
Dr. Mauricio Martinez, DMDNPI 1730278052
Title
Dentist/Owner
Phone
(239) 549-0001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

4905 Chiquita Blvd S Ste 104
Cape Coral, FL 33914-8907

Mailing address

4905 Chiquita Blvd S Ste 104
Cape Coral, FL 33914-8907
Phone (239) 549-0001

National Provider Directory

National Provider Directory

Locations

4905 Chiquita Blvd S
Ste 104
Cape Coral, FL 33914
Phone (239) 549-0001

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1660262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660262400000",
    "number": "1992433312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4905 CHIQUITA BLVD S STE 104",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339148907",
            "telephone_number": "239-549-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4905 CHIQUITA BLVD S STE 104",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339148907",
            "telephone_number": "239-549-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAURICIO MARTINEZ DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-12",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "MAURICIO",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "239-549-0001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; 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.