ANDREA MARTINEZ (NPI# 1437643855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437643855 |
| Entity Type | Individual |
| Full Name | ANDREA MARTINEZ |
| Credential | DMD |
| Practice Address |
4731 E Southern Ave Phoenix AZ 85042-4150 |
| Mailing Address |
1423 E Yucca St Phoenix AZ 85020-1424 |
| Practice Telephone | 6024814478 |
| Mailing Telephone | 6024814478 |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2020-09-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D010058 | AZ | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9315 N Central Ave, Phoenix, AZ 850202417 | 6029437297 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669956801 | Andrea Martinez | Counselor | 600 Bercut Dr., Sacramento, CA 95811 | 2018-09-24 |
| 1497385223 | Andrea Martinez | Behavior Technician | 1652 W Texas St, Suite 244, Fairfield, CA 94533-6066 | 2020-01-21 |
| 1881239481 | Andrea Monique Martinez | Behavior Technician | 2151 Professional Dr Ste 100, Roseville, CA 95661-3761 | 2019-11-07 |
| 1508400433 | Andrea Martinez | Student in an Organized Health Care Education/Training Program | 1625 Schrader Blvd, Los Angeles, CA 90028-6213 | 2019-11-04 |
| 1750934683 | Andrea Martinez | Behavior Technician | 4910 E Ashlan Ave Ste 118, Fresno, CA 93726-3021 | 2019-07-19 |
| 1609435858 | Andrea Martinez | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2019-06-11 |
| 1316408040 | Andrea Martinez | Licensed Vocational Nurse | 7710 W Ih 10, San Antonio, TX 78230-4711 | 2019-03-26 |
| 1417416280 | Andrea Martinez | Behavior Technician | 3031 C St, Sacramento, CA 95816-3326 | 2019-03-19 |
| 1841757101 | Andrea Martinez | Behavior Technician | 713 W Commonwealth Ave Ste C, Fullerton, CA 92832-1612 | 2019-02-22 |
| 1417427626 | Andrea Marie Martinez | Nurse Practitioner | 1106 E 6600 S, Murray, UT 84121-2446 | 2018-11-29 |
| Street Address |
4731 E SOUTHERN AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85042-4150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356402556 | Jinah Lee | Dentist | 4731 E Southern Ave, Phoenix, AZ 85042-4150 | 2006-12-12 |
| 1629678602 | Andrea Martinez LLC | Clinic/Center | 4731 E Southern Ave, Phoenix, AZ 85042-4150 | 2020-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306443197 | Da Homes LLC | Case Management | 8026 S. 24th Way, Phoenix, AZ 85042 | 2020-10-05 |
| 1144790460 | Ebony House Inc | Substance Abuse Rehabilitation Facility | 6222 S. 13th Street, Phoenix, AZ 85042 | 2018-11-29 |
| 1427538362 | Abigail Mcgrath | Dietitian, Registered | 303 E Baseline Rd Ste 200, Phoenix, AZ 85042 | 2018-08-20 |
| 1174028310 | Olufemi A Omodara | Pharmacist | 7227 S. Central Ave, #1080, Phoenix, AZ 85042 | 2018-03-29 |
| 1720537699 | Mary Youngblood | Registered Nurse | 7210 S 27th Way, Phoenix, AZ 85042 | 2016-10-03 |
| 1922490382 | Brian Zembower | Optometrist | 610 E Baseline Rd Ste C3, Phoenix, AZ 85042 | 2015-02-23 |
| 1417299819 | Robert Murphy Portley | Psychiatry & Neurology | 2320 E Baseline Rd Ste 148-225, Phoenix, AZ 85042 | 2013-03-23 |
| 1972807998 | Obinna Chukwuka Akubukwe | Pharmacist | 6006 S. Central Avenue, Phoenix, AZ 85042 | 2011-01-05 |
| 1104120328 | Gisheys Patient Care LLC | Custodial Care Facility | 7232 South 12th Place, Phoeniz, AZ 85042 | 2011-01-03 |
| 1245463488 | Lois Ann Hammitt | Registered Nurse | 6218 S. 7th Street, Phoenix, AZ 85042 | 2009-09-03 |
| Find all providers in zip 85042 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851990444 | Shaveta Behl | Dentist | 320 E Mcdowell Rd Ste 221, Phoenix, AZ 85004-4516 | 2020-10-23 |
| 1083212575 | Rasha Adil Abduljabbar Al-kaabi | Dentist | 4750 E Union Hills Dr Apt 1076, Phoenix, AZ 85050-3366 | 2020-10-15 |
| 1912510678 | Nicholas Ahn | Dentist | 1550 E Campbell Ave Apt 3028, Phoenix, AZ 85014-4271 | 2020-08-24 |
| 1326659087 | Triple Eight Dental Group, Pllc | Dentist | 7910 W Thomas Rd Ste 118, Phoenix, AZ 85033-4830 | 2020-08-14 |
| 1376154450 | Hatcher Dental Studio | Dentist | 421 W Hatcher Rd # 101, Phoenix, AZ 85021-2455 | 2020-08-12 |
| 1811515885 | Robert James Koch | Dentist | 2236 W Bethany Home Rd Ste 1, Phoenix, AZ 85015-1934 | 2020-07-07 |
| 1093332454 | James Dang | Dentist | 2777 E Camelback Rd Ste 101, Phoenix, AZ 85016-4348 | 2020-07-01 |
| 1639700735 | Swiss Biologic Dentistry, LLC | Dentist | 4202 N 32nd St Ste A, Phoenix, AZ 85018-4764 | 2020-01-28 |
| 1194370403 | Rajas Milind Pradhan | Dentist | 4201 E Bell Rd, Phoenix, AZ 85032-2211 | 2019-08-04 |
| 1396398806 | Aman Kaur | Dentist | 3320 W Southern Ave Ste 111, Phoenix, AZ 85041-4307 | 2019-07-23 |
| Find all providers in PHOENIX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.