KEVIN JESUS MARTINEZ


Address: Navy Medicine Support Command Attn: Medical Staff Svcs, Bldg H 2005 Knight Lane, Jacksonville, FL 32212-0140
Phone: 7607253213

KEVIN JESUS MARTINEZ (NPI# 1215574421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215574421
Entity Type Individual
Full Name KEVIN JESUS MARTINEZ
Practice Address Navy Medicine Support Command Attn: Medical Staff Svcs
Bldg H 2005 Knight Lane
Jacksonville
FL 32212-0140
Mailing Address 365 Pomelo Dr Apt F20
Vista
CA 92081-6373
Practice Telephone 7607253213
Mailing Telephone 6234989984
Enumeration Date 2019-12-06
Last Update Date 2019-12-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 126800000X Dental Assistant Dental Providers

Other Providers KEVIN MARTINEZ

NPI Name Taxonomy Address Enumeration
1083841332 Kevin Patrick Martinez Internal Medicine 2425 Geary Blvd # M115, San Francisco, CA 94115-3358 2009-06-14
1700800828 Kevin R Martinez Pain Medicine 4228 Houma Blvd Ste 510, Suite 510, Metairie, LA 70006-3015 2006-07-26
1619578879 Kevin A Martinez Student in an Organized Health Care Education/Training Program 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 2020-11-04
1437769601 Kevin Martinez Behavioral Analyst 5530 Corbin Ave Ste 221, Tarzana, CA 91356-6095 2020-08-03
1104440767 Kevin Martinez Counselor 33480 13th Pl S, Federal Way, WA 98003-6357 2020-05-29
1497386056 Kevin Michael Martinez Student in an Organized Health Care Education/Training Program 4201 Henry Ave, Philadelphia, PA 19144-5409 2020-01-31
1205489614 Kevin Martinez Social Worker 2509 Broadway, Astoria, NY 11106-3413 2019-07-24
1104399062 Kevin Martinez Behavioral Analyst 1010 Wayne Ave Ste 675, Silver Spring, MD 20910-5676 2019-01-03
1144752403 Kevin Martinez Family Medicine 636 Raymond Dr Ste 200, Naperville, IL 60563-9791 2017-03-28
1629416458 Kevin J Martinez Emergency Medicine 3901 Rainbow Blvd, Kansas City, KS 66160-8500 2013-06-14

Office Location

Street Address NAVY MEDICINE SUPPORT COMMAND ATTN: MEDICAL STAFF SVCS
BLDG H 2005 KNIGHT LANE
City JACKSONVILLE
State FL
Zip Code 32212-0140

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346234721 Lisa Gay Dundas Dentist Navy Medicine Support Command Attn: Medical Staff Svcs, Bldg H 2005 Knight Lane, Jacksonville, FL 32212-0140 2005-08-31
1154948867 Jordan Henke Dentist Navy Medicine Support Command Attn: Medical Staff Svcs, Bldg H 2005 Knight Lane, Jacksonville, FL 32212-0140 2020-06-29
1215558887 Scott M Curtis Dentist Navy Medicine Support Command Attn: Medical Staff Svcs, Bldg H 2005 Knight Lane, Jacksonville, FL 32212-0140 2020-05-05
1407489099 Madeline Dulany Love Student in an Organized Health Care Education/Training Program Navy Medicine Support Command Attn: Medical Staff Svcs, Bldg H 2005 Knight Lane, Jacksonville, FL 32212-0140 2020-02-21
1629616636 Maria Kiana Rogers Dental Hygienist Navy Medicine Support Command Attn: Medical Staff Svcs, Bldg H 2005 Knight Lane, Jacksonville, FL 32212-0140 2019-12-20
1114564325 Tykeshia Roberts Dental Assistant Navy Medicine Support Command Attn: Medical Staff Svcs, 2005 Knight Lane Bldg H, Jacksonville, FL 32212-0140 2019-12-06
1043854771 Trey Jeremy Coke Military Health Care Provider Navy Medicine Support Command Attn: Medical Staff Svcs, Bldg H 2005 Knight Lane, Jacksonville, FL 32212 2019-11-06
1134771090 Sean Young Dentist Navy Medicine Support Command Attn: Medical Staff Svcs, Bldg H 2005 Knight Lane, Jacksonville, FL 32212-0140 2019-07-11
1639730245 Mary Linh Ta Dentist Navy Medicine Support Command Attn: Medical Staff Svcs, Bldg H 2005 Knight Lane, Jacksonville, FL 32212-0140 2019-06-25
1619461522 Sara Ann Storer Dentist Navy Medicine Support Command Attn: Medical Staff Svcs, Bldg H 2005 Knight Lane, Jacksonville, FL 32212-0140 2018-06-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952911752 Jeff Woohyeok Chang Dentist 964 Ajax Street, Jacksonville, FL 32212 2020-08-06
1518484427 Amy Kathryn Lee Student in an Organized Health Care Education/Training Program Bumed, Centralized Credential & Privileging Directorate, 554 Keily Street, Jacksonville, FL 32212 2017-08-23
1659827970 Noah Fixelle Dentist Bureau of Med and Surg Ccpd, 554 Keily Street, Jacksonville, VA 32212 2016-08-28
1972953339 Colin Kenneth Kelly General Practice Bureau of Medicine & Surgery Detachment, Nas Jacksonville, Building 554, Jacksonville, FL 32212 2016-06-16
1912382359 Caitlyn Brooke Hoysock Dentist 554 Keiley Street, Bureau of Medicine and Surgery - Credentials, Jacksonville, FL 32212 2015-07-28
1285017418 John Alexander Ruch Dentist 554 Keily Street Bureau of Med and Surg Ccpd, Jacksonville, FL 32212 2015-07-07
1407238561 Amanda Mona Lau Student in an Organized Health Care Education/Training Program 554 Kelly Street, Attn Centralized Credentialing, Bureau of Medicine and Surgery, Jacksonville, FL 32212 2015-06-25
1063894715 Heather Dehaan Family Medicine 554 Kelly Street Bureau of Medicine and Surgery, Attention: Centralized Credentialing & Privileging Dire, Jacksonville, FL 32212 2015-06-18
1912389677 Catherine Garcia Student in an Organized Health Care Education/Training Program 554 Kelly St, Credentialing & Privileging Directorate, Bureau of Medicine & Surgery, Attention: Centralized, Jacksonville, FL 32212 2015-06-18
1255712675 James Robert Benson Dentist 734 Keily Street, Bumed, Jacksonville, FL 32212 2015-06-11
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Taxonomy Information

Taxonomy Code 126800000X
Grouping Dental Providers
Classification Dental Assistant

Taxonomy Definition

An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary.
Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114564325 Tykeshia Roberts Dental Assistant Navy Medicine Support Command Attn: Medical Staff Svcs, 2005 Knight Lane Bldg H, Jacksonville, FL 32212-0140 2019-12-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1699391540 Merancia Dezina Dental Assistant 1762 Se Aires Ln, Port St Lucie, FL 34984-3757 2020-06-17
1437659943 Natalie Beville Dental Assistant 2404 Nw 244th St, Newberry, FL 32669-2515 2018-02-20
1720536634 Claudia De Las Mercedes Perez Dental Assistant 9870 Sw 223rd Ter, Cutler Bay, FL 33190-1582 2016-09-20
1669847059 Dawn Johnson Dental Assistant 8900 Mulberry Ln, The Villages, FL 32162 2015-12-10
1326418179 Leticia Ruiz Maturana Dental Assistant 21380 Sw 244th St, Homestead, FL 33031-3628 2015-10-05
1184032484 Dr Wigglesworth, Inc. Dental Assistant 528 Waterway Village Court, Greenacres, FL 33413-0000 2014-07-30
1356779904 Jessica Richelle Robatin Dental Assistant 300 Sandpiper Ct, Casselberry, FL 32707-4010 2013-10-17
1952674723 North Miami Beach Dental Dental Assistant 2040 Ne 163rd St #206, North Miami Beach, FL 33162 2012-02-09
1467066647 Savannah Steele Dental Assistant 724 Lithia Pinecrest Rd, Brandon, FL 33511-6117 2020-09-03
1295356756 Argedith Fernandez Dental Assistant 6509 Conroy Rd Apt 114, Orlando, FL 32835-3501 2020-05-06
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Competitor

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City JACKSONVILLE
Zip Code 32212

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Dataset Information

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.

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