MEDICARE: JAMES MARTINEZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	124Q00000X	Dental Hygienist	002026588	CO

General Provider Information

NPI Number	:	1235086174
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES MARTINEZ

Provider Business Mailing Address
First Line	:	1408 RED MICA WAY
Second Line	:
City	:	MONUMENT
State	:	CO
Zip	:	80132-7437
Country	:	US
Telephone Number	:	818-669-5027
Fax Number	:

Provider Business Practice Location Address
First Line	:	1408 RED MICA WAY
Second Line	:
City	:	MONUMENT
State	:	CO
Zip	:	80132-7437
Country	:	US
Telephone Number	:	818-669-5027
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/11/2026
Last Update Date	:	03/11/2026

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Directions to “ JAMES MARTINEZ ” Practice Location

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